Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1689648479
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3949, Evans Avenue, Fort Myers, Lee County, Florida, 33901, United States
STE 102
FORT MYERS, FL 339019335
Phone: (239) 939-2622
Fax: (239) 939-0151
Type: Location
24717, Hollybrier Lane, Spring Creek Village, Pelican Landing, Bonita Springs, Lee County, Florida, 34134, United States
BONITA SPRINGS, FL 341342965
Phone: (239) 939-2622
Fax: (239) 939-0151
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33901)
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