Individual
MS. KIMBERLY DISHAROON STITIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2211 60TH ST W, BRADENTON, FL 34209-5569
(941) 761-0663
(941) 761-3347
Mailing address
10167 CHERRY HILLS AVENUE CIR, BRADENTON, FL 34202-4046
(941) 727-0810
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3399052
FL
Other
Enumeration date
01/30/2007
Last updated
01/06/2014
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