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Leah Marie Fasolo, APRN,ARNP
Gerontology Nurse Practitioner in Fort Myers, Florida
NPI 1174992739

Leah Marie Fasolo is a Gerontology Nurse Practitioner based in Fort Myers, FL and is specialized in Gerontology. Leah Marie Fasolo practices in Fort Myers, FL and has the professional credentials of APRN,ARNP. The NPI Number for Leah Marie Fasolo is 1174992739 and holds a License No. 9477790 (Florida).

The current practice location address for Leah Marie Fasolo is 13340 Metro Pkwy Ste 200, Fort Myers, FL and can be reached out via phone at 239-343-0550 and via fax at 239-343-4013. You can also correspond with Leah Marie Fasolo through the mailing address at PO BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-0550).

Location: 13340 Metro Pkwy Ste 200, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174992739
Provider Name
Leah Marie Fasolo
Credential
APRN,ARNP
Provider Entity Type
Individual
Gender
Female
Address
13340 Metro Pkwy Ste 200, Fort Myers, FL, 33902-2147
Phone Number
239-343-0550
Fax Number
239-343-4013
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101880700 05 FL
institution
Provider Business Practice Location Address Details
Address
13340 Metro Pkwy Ste 200
City
Fort Myers
State
Florida
Zip
33966-4818
Phone Number
239-343-0550
Fax Number
239-343-4013
person
Provider Business Mailing Address Details
Address
Po Box 2147
City
Fort Myers
State
Florida
Zip
33902-2147
Phone Number
239-343-0550
Fax Number
239-343-4013
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN9477790 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
9477790 (Florida)
Definition
Definition to come...
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