Individual
DR. KALYNN BROWN MATISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6717 NW 11TH PL STE B, GAINESVILLE, FL 32605-4233
(352) 505-0255
(352) 505-0997
Mailing address
6717 NW 11TH PL STE B, GAINESVILLE, FL 32605-4233
(352) 505-0255
(352) 505-0997
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1068572
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP1068572
FL
363LA2200X
Adult Health Nurse Practitioner
1068572
FL
363LF0000X
Family Nurse Practitioner
1068572
FL
363LF0000X
Family Nurse Practitioner
APRN1068572
FL
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
1068572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302561600
—
FL
05
—
305534500
—
FL
Enumeration date
03/28/2006
Last updated
12/12/2018
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