Individual provider · Type 1 NPI

Alicia Hagenau Ketchum, ARNP-C

Family Nurse Practitioner · Spring Hill, FL

NPI number 1588080501 Active

Practice location

120 Medical Blvd, Ste 102
Spring Hill, FL 34609-0220

Call (352) 686-0086 Map

Fax (352) 684-2081

Mailing address

14690 Spring Hill Dr, Ste 100 Attn:credentialing
Spring Hill, FL 34609-8102

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	ARNP9278289 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1588080501

Alicia Hagenau Ketchum, ARNP-C's National Provider Identifier is 1588080501, issued on Mar 14, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spring Hill, FL. The record was last updated on Feb 20, 2017.