Individual
KERRIN D HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
449621 US HIGHWAY 301, SUITE 110, CALLAHAN, FL 32011-9348
(904) 507-2692
(904) 507-2693
Mailing address
4960 SW 72ND AVE, SUITE 406, MIAMI, FL 33155-5544
(305) 662-5200
(305) 284-7948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9303001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9303001
ARNP LICENSE
FL
Enumeration date
08/08/2011
Last updated
09/04/2013
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