Individual provider · Type 1 NPI

Krystle Ivanov, APRN-PMHNP- BC

Psychiatric/Mental Health Nurse Practitioner · Lakeland, FL

NPI number 1760296362 Active

Practice location

225 E Lemon St Ste 105
Lakeland, FL 33801-4632

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11037342 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760296362

Krystle Ivanov, APRN-PMHNP- BC's National Provider Identifier is 1760296362, issued on Feb 4, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lakeland, FL. The record was last updated on Feb 13, 2025.