Individual provider · Type 1 NPI
Kirstyn Shea Cassidy, RN
Adult Medicine Physician · Tampa, FL
NPI number
1053807255
Active
Practice location
5438 W Tyson Ave
Tampa, FL 33611-3878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9692014 (FL) |
| Adult Medicine Physician Primary | 207QA0505X | APRN11037018 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1053807255
Kirstyn Shea Cassidy, RN's National Provider Identifier is 1053807255, issued on Jul 11, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tampa, FL. The record was last updated on Jul 3, 2026.