Individual provider · Type 1 NPI

Kathryn I. Lake, APRN

Family Nurse Practitioner · Parrish, FL

NPI number 1962634980 Active

Practice location

8342 US Highway 301 N
Parrish, FL 34219-8653

Fax (941) 729-4424

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN9476735 (FL)
Family Nurse Practitioner 363LF0000X3968 (SC)
Family Nurse Practitioner Primary 363LF0000XAPRN9476735 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1962634980

Kathryn I. Lake, APRN's National Provider Identifier is 1962634980, issued on Aug 10, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Parrish, FL. The record was last updated on Aug 23, 2021.