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KRISTEN MACCONNELL LOOMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
812 NW 57TH ST, GAINESVILLE, FL 32605-6414
(352) 333-6249
Mailing address
15077 NW 149TH ROAD, ALACHUA, FL 32615-3725
(863) 287-9242

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9280838
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP9280838
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427330455
FL
Enumeration date
09/15/2011
Last updated
07/21/2017
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