Provider Demographics
NPI:1437553161
Name:CATARELLI, BRYCE (ARNP)
Entity Type:Individual
Prefix:
First Name:BRYCE
Middle Name:
Last Name:CATARELLI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:BRYCE
Other - Middle Name:
Other - Last Name:CROUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 117500
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-7500
Mailing Address - Country:US
Mailing Address - Phone:352-392-1161
Mailing Address - Fax:352-392-9625
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-4833
Practice Address - Country:US
Practice Address - Phone:352-392-1161
Practice Address - Fax:352-392-9625
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9308490363LF0000X
FLAPRN9308490363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015343800Medicaid
FL015343800Medicaid