Individual provider · NPI-1

Dr. Kalynn Brown Matisco, APRN

Nurse Practitioner, Acute Care · Gainesville, FL

NPI number1952362212

StatusActive

Last updated in NPPESDec 12, 2018

Details

NPI: 1952362212
Entity type: Individual (NPI-1)
Name: Dr. Kalynn Brown Matisco
Credential: APRN
Sex: Female
Sole proprietor: No
Enumeration date: Mar 28, 2006
Last updated: Dec 12, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2100X	Nurse Practitioner, Acute Care	ARNP1068572	FL	Yes
363LA2100X	Nurse Practitioner, Acute Care	1068572	FL
363LA2200X	Nurse Practitioner, Adult Health	1068572	FL
363LF0000X	Nurse Practitioner, Family	1068572	FL
363LF0000X	Nurse Practitioner, Family	APRN1068572	FL
364SC0200X	Clinical Nurse Specialist, Critical Care Medicine	1068572	FL

Practice location

6717 Nw 11th Pl Ste B
Gainesville, FL 32605-4233

Phone 352-505-0255 · Fax 352-505-0997

Mailing address

6717 Nw 11th Pl Ste B
Gainesville, FL 32605-4233

Phone 352-505-0255 · Fax 352-505-0997

Other practice locations

1600 Sw Archer Rd
Gainesville, FL 32610-3003

Phone 352-265-0139 · Fax 850-747-5475

445 Ishie Ave
Bronson, FL 32621-6204

Phone 352-486-3420

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