Individual
KIELEY DIANE SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3115 HARBOR BLVD, PORT CHARLOTTE, FL 33952-6729
(941) 258-3635
(941) 258-3630
Mailing address
3115 HARBOR BLVD, PORT CHARLOTTE, FL 33952-6729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11040476
FL
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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