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

Kelly Renee Paeth, APRN

Individual provider Family Nurse Practitioner · NPI 1043770803

Kelly Renee Paeth, APRN is a Nurse Practitioner in Altamonte Springs, Florida. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

106 Boston Ave Ste 205
Altamonte Springs, FL 32701-4712
Phone: (407) 212-9532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11001821 (FL)

Record details

NPI number1043770803
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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