Individual
MRS. KAITLIN ESTOCK LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2803 W SAINT ISABEL ST, TAMPA, FL 33607-6343
(813) 253-2273
(813) 253-2279
Mailing address
1988 GULF TO BAY BLVD, CLEARWATER, FL 33765-3550
(727) 314-4243
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11008828
FL
363LF0000X
Family Nurse Practitioner
APRN11008828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109550400
—
FL
Enumeration date
10/01/2020
Last updated
02/08/2024
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