Provider Demographics
NPI:1194351635
Name:MALAGHAN, KARA LYNN (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LYNN
Last Name:MALAGHAN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:MRS
Other - First Name:KARA
Other - Middle Name:LYNN
Other - Last Name:BRADT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP-PC
Mailing Address - Street 1:19522 BROAD SHORE WALK
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-2169
Mailing Address - Country:US
Mailing Address - Phone:813-505-2414
Mailing Address - Fax:
Practice Address - Street 1:10359 CROSS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2772
Practice Address - Country:US
Practice Address - Phone:813-994-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006042363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics