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Individual

MRS. KRISTY BERNARDI KURZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

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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