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Individual

MRS. KIRSTIE B DICHARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13910 FIVAY RD STE 5, HUDSON, FL 34667-7130
(727) 259-7930
(727) 935-0505
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007367
FL
363LF0000X
Family Nurse Practitioner
APRN11007367
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107694800
FL
Enumeration date
06/03/2020
Last updated
04/20/2026
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