Individual provider · Type 1 NPI

Khristel A. Fonseca-Miller, APRN

Nurse Practitioner · Land O Lakes, FL

NPI number 1093364481 Active

Practice location

2100 Via Bella Blvd Ste 201
Land O Lakes, FL 34639-5429

Fax (813) 355-5066

Mailing address

38135 Market Sq
Zephyrhills, FL 33542-7505

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11003880 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093364481

Khristel A. Fonseca-Miller, APRN's National Provider Identifier is 1093364481, issued on Sep 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Land O Lakes, FL. The record was last updated on Oct 11, 2019.