Individual
KATHLEEN S TILLS
Active
Individual
KATHLEEN S TILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11028260
FL
363LF0000X
Family Nurse Practitioner
11028260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119862500
—
FL
01
—
RZ885
MEDICARE HF
FL
Enumeration date
08/24/2023
Last updated
12/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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