Provider Demographics
NPI:1548392277
Name:STOVALL, KRISTI ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:ANN
Last Name:STOVALL
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 1:18216 ABBEY LANE
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548
Mailing Address - Country:US
Mailing Address - Phone:813-909-1369
Mailing Address - Fax:813-631-7131
Practice Address - Street 1:13000 BRUCE B DOWNS
Practice Address - Street 2:JAMES A HALEY VA HOSPITAL
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-903-3613
Practice Address - Fax:813-631-7131
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9186513363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily