Individual
DR. M'LYNN RENEE MCKIBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5325 E STATE ROAD 64 STE B, BRADENTON, FL 34208-5534
(941) 260-2931
Mailing address
5325 E STATE ROAD 64 STE B, BRADENTON, FL 34208-5534
(941) 260-2931
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021767
FL
Other
Enumeration date
09/09/2022
Last updated
01/12/2023
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