Individual provider · Type 1 NPI

Nikki Rae Dortch

Critical Care Neonatal Nurse Practitioner · Tampa, FL

NPI number 1528520558 Active

Practice location

3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308

Mailing address

7026 Summer Holly Pl
Riverview, FL 33578-4952

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9417152 (FL)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XAPRN11009680 (FL)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1528520558

Nikki Rae Dortch's National Provider Identifier is 1528520558, issued on Mar 31, 2019. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Tampa, FL. The record was last updated on Feb 24, 2021.