Burchenson, Krysta-Gaye Latoya

Burchenson, Krysta-Gaye Latoya is an individual health care provider with primary practice located at 1515 Sw Archer Rd , Gainesville FL 32608-1134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Burchenson, Krysta-Gaye Latoya can be contacted via phone (352) 265-0111.

Contact Information

Primary practice address
1515 Sw Archer Rd Gainesville FL 32608-1134
Phone: (352) 265-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9108009 Florida

Profile Details

NPI number 1629485909
LBN Legal business name Burchenson, Krysta-Gaye Latoya
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2014
Last updated Oct 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629485909 NPPES
Florida MEDICAID 012891300

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