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Shani L Gadwaw, CRNP
Family Nurse Practitioner in Fort Myers, Florida
NPI 1255352159

Shani L Gadwaw is a Family Nurse Practitioner based in Fort Myers, FL and is specialized in Family. Shani L Gadwaw practices in Fort Myers, FL and has the professional credentials of CRNP. The NPI Number for Shani L Gadwaw is 1255352159 and holds a License No. SP010408 (Florida).

The current practice location address for Shani L Gadwaw 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.

Location: 13340 Metro Pkwy Ste 200, Fort Myers, FL, 33902-2147
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Provider Profile Details
NPI Number
1255352159
Provider Name
Shani L Gadwaw
Credential
CRNP
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
07/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102594768 05 PA
110409900 05 FL
52955900 05 FL
institution
Provider Business Practice Location Address Details
Address
13340 Metro Pkwy Ste 200
City
State
Zip
33966-4818
Phone Number
239-343-0550
Fax Number
239-343-4013
person
Provider Business Mailing Address Details
Address
13340 Metro Pkwy Ste 200
City
State
Zip
33966-4818
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
Family
Taxonomy
License No.
SP010408 (Pennsylvania)
Definition
Definition to come...
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