Individual
MS. KATHERINE ANN FONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607-6307
(813) 554-8135
(813) 765-6098
Mailing address
3003 W DR MLK BLVD FL JR2, TAMPA, FL 33607-6307
(813) 554-8135
(813) 605-6098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9175827
FL
363LF0000X
Family Nurse Practitioner
APRN9175827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012933900
—
FL
Enumeration date
07/29/2013
Last updated
03/25/2022
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