Provider Demographics
NPI:1912577453
Name:KEMPEY, RENEE ANTOINETTE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:ANTOINETTE
Last Name:KEMPEY
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 1:6707 CITRUS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3107
Mailing Address - Country:US
Mailing Address - Phone:954-803-6471
Mailing Address - Fax:
Practice Address - Street 1:6707 CITRUS CREEK LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3107
Practice Address - Country:US
Practice Address - Phone:954-803-6471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013860363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11013860OtherFLORIDA BOARD OF NURSING IDENTIFICATION