Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imtithal Kisirwan, APRN, AGACNP, FNP

Individual provider Nurse Practitioner · NPI 1518493196

Imtithal Kisirwan, APRN, AGACNP, FNP is a Nurse Practitioner in Weston, Florida. Qualified in 2009, 17 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
17
Licensed in
FL, MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3100 Weston Rd
Weston, FL 33331-3602
Phone: (954) 659-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11046769 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP5149 (MN)

Record details

NPI number1518493196
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGACNP , FNP
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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