Provider Demographics
NPI:1306202742
Name:KINDELL, MIESHA (ARNP)
Entity Type:Individual
Prefix:
First Name:MIESHA
Middle Name:
Last Name:KINDELL
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 1:4700 MILLENIA BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6013
Mailing Address - Country:US
Mailing Address - Phone:980-999-3975
Mailing Address - Fax:877-675-1916
Practice Address - Street 1:901 N WENDOVER RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1764
Practice Address - Country:US
Practice Address - Phone:980-999-3975
Practice Address - Fax:877-675-1916
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009429363LF0000X, 363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily