Individual
KERRY-ANN PATRIA GREENLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 930-4348
Mailing address
2622 NW 60TH AVE, MARGATE, FL 33063-1933
(754) 244-4362
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9480041
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95026811
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11025798
FL
Other
Enumeration date
02/07/2022
Last updated
04/07/2026
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