Individual
MS. KRISTEN HANENIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4905 W LAUREL ST, SUITE 200, TAMPA, FL 33607-3834
(813) 388-0485
Mailing address
4905 W LAUREL ST, SUITE 200, TAMPA, FL 33607-3834
(813) 388-0485
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9244410
FL
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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