Individual
KRISTOPHER OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1223 DANIELS RD, WINTER GARDEN, FL 34787-3835
(689) 240-7945
Mailing address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 467-6111
(813) 467-6013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9441031
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9441031
FL
Other
Enumeration date
06/04/2015
Last updated
05/02/2025
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