Individual
MS. MISSY ELAINE MIMS KIRKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
148 13TH ST SW STE 200, LARGO, FL 33770-3127
(727) 450-3030
(727) 450-3031
Mailing address
PO BOX 633, LARGO, FL 33779-0633
(646) 670-7609
(727) 450-3031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
128383
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NAN652
—
SC
Enumeration date
06/06/2006
Last updated
04/17/2026
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