Provider Demographics
NPI:1386352052
Name:COOTE, KIERA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:KIERA
Middle Name:
Last Name:COOTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3833
Mailing Address - Country:US
Mailing Address - Phone:352-277-5305
Mailing Address - Fax:352-616-0926
Practice Address - Street 1:13235 STATE ROAD 52
Practice Address - Street 2:SUITE 102
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-2968
Practice Address - Country:US
Practice Address - Phone:727-378-8503
Practice Address - Fax:727-857-7807
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022928363LF0000X
FLRN9388963363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily