Individual
KRISTY LOVELL BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
2418 TERESA CIR APT G, TAMPA, FL 33629-6148
(321) 960-0719
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11012380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112586000
—
FL
01
—
SZMBJ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/28/2021
Last updated
09/26/2024
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