Individual
KAREN M THEOKTISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, BOX 100383, GAINESVILLE, FL 32610-0383
(352) 265-7015
Mailing address
PO BOX 100383, GAINESVILLE, FL 32610-3001
(352) 265-7015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1003692
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP1003692
FL
Other
Enumeration date
09/15/2006
Last updated
03/07/2017
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