Individual
ELIZABETH A KISENISHSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11969 SHELDON RD, TAMPA, FL 33626-3644
(813) 925-1903
Mailing address
11969 SHELDON RD, TAMPA, FL 33626-3644
(813) 925-1903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11003470
FL
363LF0000X
Family Nurse Practitioner
SP018293
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11003470
FL
Other
Enumeration date
02/21/2018
Last updated
12/04/2024
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