Individual
MRS. KRISTY BERNARDI KURZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6100 OLEANDER DR, ORLANDO, FL 32807-3437
(407) 482-6377
Mailing address
14618 MICHENER TRL, ORLANDO, FL 32828-6458
(321) 206-3646
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9180976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15187901
CITRUS PROVIDER NUMBER
FL
05
—
308173700
—
FL
01
—
317541
AMERIGROUP PROVIDER NUMBE
FL
01
—
380123
WELLCARE
FL
Enumeration date
10/05/2006
Last updated
09/16/2008
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