KRISTEN IDOWU NPI 1043079072

NPI Information

  • NPI: 1043079072
  • Provider Name: KRISTEN IDOWU
  • Classification: Technician, Pathology - 246RP1900X
  • Specialization: Phlebotomy
  • Entity Type: Individual
  • Address: 12236 TAVARES RIDGE LN
    TAVARES, FL
    ZIP 32778
  • Phone: (352) 636-2821

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NPI Details

Kristen Idowu is a phlebotomy technician pathology in Tavares, FL. Kristen Idowu NPI is 1043079072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12236 TAVARES RIDGE LN
TAVARES, FL
ZIP 32778-460
Phone: (352) 636-2821

The enumeration date for this NPI number is 3/13/2024 and was last updated on 3/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RP1900XTechnician, PathologyPhlebotomyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110D2292576MEDICAIDFLORIDA
2922686490MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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