Individual
KRISTINE MARIE EVAVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6671 13TH AVE N STE 1D, ST PETERSBURG, FL 33710-5411
(727) 381-1147
(727) 392-5192
Mailing address
720 BROOKER CREEK BLVD STE 215, OLDSMAR, FL 34677-2937
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11011409
FL
Other
Enumeration date
02/07/2007
Last updated
10/12/2023
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