Individual provider · Type 1 NPI

Katherine Puisis, APRN

Pediatric Nurse Practitioner · Lakeland, FL

NPI number 1508571332 Active

Practice location

2300 E County Road 540A
Lakeland, FL 33813-3825

Fax (866) 264-8519

Mailing address

411 Mirrorton Ave Unit 205
Lakeland, FL 33801-4994

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11022855 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508571332

Katherine Puisis, APRN's National Provider Identifier is 1508571332, issued on Jan 17, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lakeland, FL. The record was last updated on Jun 25, 2026.