| Kylee J Dalton, PMHNP | |
| 4519 Woodbine Rd, Pace, FL 32571-8706 | |
| (850) 377-2769 | |
| Not Available | 
| Full Name | Kylee J Dalton | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 4519 Woodbine Rd, Pace, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568170116 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11021198 (Florida) | Primary | 
| Entity Name | Lakeview Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316943772 PECOS PAC ID: 3375439904 Enrollment ID: O20040223000324 | 
| Entity Name | Dura Medical Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467924829 PECOS PAC ID: 1254672272 Enrollment ID: O20190401000727 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kylee J Dalton, PMHNP 4519 Woodbine Rd, Pace, FL 32571-8706 Ph: (850) 806-1668 | Kylee J Dalton, PMHNP 4519 Woodbine Rd, Pace, FL 32571-8706 Ph: (850) 377-2769 | 
| Casey Tingstrom, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5712 Whispering Woods Dr, Pace, FL 32571 Phone: 850-420-3246 | |
| Angelia Cranford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4835 Hilarita Cir, Pace, FL 32571 Phone: 850-449-0105 | |
| April M Evans, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4025 Manchester Ct, Pace, FL 32571 Phone: 601-701-8070 | |
| Jamie Mashburn Thorn, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3754 Highway 90, Ste 220, Pace, FL 32571 Phone: 850-416-5050 Fax: 850-416-5022 | |
| Elizabeth Ann Hedaria, MSN, FNP CCM CNLCP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 Highway 90, Pace, FL 32571 Phone: 850-416-6898 Fax: 850-416-6907 | |
| Miranda Schulz,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3888 Highway 90, Pace, FL 32571 Phone: 850-994-2229 | |
| Jason Andrew Christison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4515 Chumuckla Hwy, Pace, FL 32571 Phone: 850-889-8181 Fax: 866-333-5829 |