Mella, Kimberly Ann

Mella, Kimberly Ann is an individual health care provider with primary practice located at 301 N Alexander St , Plant City FL 33563-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mella, Kimberly Ann can be contacted via phone (813) 757-1290.

Contact Information

Primary practice address
301 N Alexander St Plant City FL 33563-4303
Phone: (813) 757-1290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2742832 Florida

Profile Details

NPI number 1467420455
LBN Legal business name Mella, Kimberly Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467420455 NPPES
Florida MEDICAID 303931500

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