Provider Demographics
NPI:1770039372
Name:KITA, KRISTI CAY (APRN)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:CAY
Last Name:KITA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 24TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-6343
Mailing Address - Country:US
Mailing Address - Phone:810-599-1837
Mailing Address - Fax:941-216-3703
Practice Address - Street 1:3914 E STATE ROAD 64
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-9059
Practice Address - Country:US
Practice Address - Phone:941-216-3800
Practice Address - Fax:941-216-3703
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9209868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily