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

Mrs. Kathleen Young Harrell, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1043295090

Mrs. Kathleen Young Harrell, ARNP is a Nurse Practitioner in Odessa, Florida. Qualified in 1997, 29 years ago. Practices with State Wide Dermatology 'Llc, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

17121 Rainbow Ter
Odessa, FL 33556
Phone: (813) 749-6707
Fax: (813) 475-4831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2826532 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2826532 (FL)

Record details

NPI number1043295090
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESJuly 22, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice State Wide Dermatology 'Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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