Provider Demographics
NPI:1528024205
Name:KIRKLAND, CORINNE I (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:I
Last Name:KIRKLAND
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 1:1345 WEST AVE
Mailing Address - Street 2:701
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3759
Mailing Address - Country:US
Mailing Address - Phone:305-672-0901
Mailing Address - Fax:
Practice Address - Street 1:11440 SW 88TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1044
Practice Address - Country:US
Practice Address - Phone:786-263-0001
Practice Address - Fax:786-263-0004
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL937152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner