Provider Demographics
NPI:1083830004
Name:NOFFSINGER, KATHY A (ARNP)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:A
Last Name:NOFFSINGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 NW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2008
Mailing Address - Country:US
Mailing Address - Phone:352-331-5100
Mailing Address - Fax:352-332-9607
Practice Address - Street 1:529 NW 60TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2008
Practice Address - Country:US
Practice Address - Phone:352-331-5100
Practice Address - Fax:352-332-9607
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2059162363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics