Individual
KHYDINE SENIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4150
(941) 782-4104
Mailing address
PO BOX 197515, NASHVILLE, TN 37219-7515
(941) 782-4391
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11024330
FL
Other
Enumeration date
02/22/2023
Last updated
09/11/2023
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