Individual
KATHRYN CORRINNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9203546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001543200
—
FL
01
—
Y01R0
BC / BS FL
FL
Enumeration date
11/16/2009
Last updated
09/12/2019
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