Provider Demographics
NPI:1154083780
Name:FRENCH, KATIE (APRN)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:FRENCH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5589 MARQUESAS CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3337
Mailing Address - Country:US
Mailing Address - Phone:941-477-9991
Mailing Address - Fax:
Practice Address - Street 1:5589 MARQUESAS CIR STE 202
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3337
Practice Address - Country:US
Practice Address - Phone:941-477-9991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11015699363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily