Individual
KIMBERLY ANCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 866-0930
(813) 405-3722
Mailing address
18991 DIEGO CIR, SPRING HILL, FL 34610-0050
(813) 230-4206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9207135
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9207135
FL
Other
Enumeration date
08/25/2017
Last updated
05/22/2019
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