| Ms Kelli Kraaz, ARNP- FNP | |
| 3307 N Indian River Dr, Fort Pierce, FL 34946-8418 | |
| (772) 528-5991 | |
| Not Available | 
| Full Name | Ms Kelli Kraaz | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3307 N Indian River Dr, Fort Pierce, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003275157 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN2165662 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | RN 2165662 (Florida) | Primary | 
| Entity Name | Internal Medicine Consultants Of Saint Lucie County Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538150826 PECOS PAC ID: 8123082898 Enrollment ID: O20041113000009 | 
| Entity Name | Humayun Shareef Md Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306147327 PECOS PAC ID: 5597943563 Enrollment ID: O20110621000568 | 
| Entity Name | Impact Practitioner Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982457081 PECOS PAC ID: 4486096161 Enrollment ID: O20240527000251 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Kelli Kraaz, ARNP- FNP 3307 N Indian River Dr, Fort Pierce, FL 34946-8418 Ph: (772) 528-5991 | Ms Kelli Kraaz, ARNP- FNP 3307 N Indian River Dr, Fort Pierce, FL 34946-8418 Ph: (772) 528-5991 | 
| Arielle Tango, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801 | |
| Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410 | |
| Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420 | |
| Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983 | |
| Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033 | |
| Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 |