Provider Demographics
NPI:1477586667
Name:HARBST-CITTA, KAREN LYNN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNN
Last Name:HARBST-CITTA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:HARBST-CITTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, ARNP, FNP
Mailing Address - Street 1:PO BOX 2247
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32616-2247
Mailing Address - Country:US
Mailing Address - Phone:352-317-8342
Mailing Address - Fax:
Practice Address - Street 1:31 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MACCLENNY
Practice Address - State:FL
Practice Address - Zip Code:32063-2301
Practice Address - Country:US
Practice Address - Phone:904-259-2725
Practice Address - Fax:904-259-2407
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0387711-22363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305640600Medicaid
FLQ2554Medicare UPIN
FLY9970ZMedicare ID - Type Unspecified