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Doreen Destefano
Adult Health Nurse Practitioner in Fort Myers, Florida
NPI 1215417951

Doreen Destefano is an Adult Health Nurse Practitioner based in Fort Myers, FL and is specialized in Adult Health. Doreen Destefano practices in Fort Myers, FL. The NPI Number for Doreen Destefano is 1215417951 and holds a License No. APRN1100138 (Florida).

The current practice location address for Doreen Destefano is 12734 Kenwood Ln Ste 84, Fort Myers, FL and can be reached out via phone at 239-425-2900 and via fax at 239-791-1072.

Location: 12734 Kenwood Ln Ste 84, Fort Myers, FL, 33907-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215417951
Provider Name
Doreen Destefano
Credential
Provider Entity Type
Individual
Gender
Female
Address
12734 Kenwood Ln Ste 84, Fort Myers, FL, 33907-5638
Phone Number
239-425-2900
Fax Number
239-791-1072
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12734 Kenwood Ln Ste 84
City
Fort Myers
State
Florida
Zip
33907-5638
Phone Number
239-425-2900
Fax Number
239-791-1072
person
Provider Business Mailing Address Details
Address
12734 Kenwood Ln Ste 84
City
Fort Myers
State
Florida
Zip
33907-5638
Phone Number
239-425-2900
Fax Number
239-791-1072
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
APRN1100138 (Florida)
Definition
Definition to come...
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