Provider Demographics
NPI:1811530322
Name:KIRKPATRICK, LORIANN W (RN)
Entity type:Individual
Prefix:
First Name:LORIANN
Middle Name:W
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 SW FLOUNDER LN
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-4164
Mailing Address - Country:US
Mailing Address - Phone:954-646-5445
Mailing Address - Fax:
Practice Address - Street 1:1433 SW FLOUNDER LN
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-4164
Practice Address - Country:US
Practice Address - Phone:954-646-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9184024163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine