person
Deetta L Debault, ARNP
Gerontology Nurse Practitioner in Fort Myers, Florida
NPI 1477960888

Deetta L Debault is a Gerontology Nurse Practitioner based in Fort Myers, FL and is specialized in Gerontology. Deetta L Debault practices in Fort Myers, FL and has the professional credentials of ARNP. The NPI Number for Deetta L Debault is 1477960888 and holds a License No. ARNP9277422 (Florida).

The current practice location address for Deetta L Debault is 2232 Grand Ave, Fort Myers, FL and can be reached out via phone at 239-344-2330 and via fax at 239-332-4701. You can also correspond with Deetta L Debault through the mailing address at 2675 WINKLER AVE, FORT MYERS, FL - 33901-9342 (mailing address contact number: 239-278-3600).

Location: 2232 Grand Ave, Fort Myers, FL, 33901-9342
person
Provider Profile Details
NPI Number
1477960888
Provider Name
Deetta L Debault
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2232 Grand Ave, Fort Myers, FL, 33901-9342
Phone Number
239-344-2330
Fax Number
239-332-4701
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012471200 05 FL
institution
Provider Business Practice Location Address Details
Address
2232 Grand Ave
City
State
Zip
33901-3717
Phone Number
239-344-2330
Fax Number
239-332-4701
person
Provider Business Mailing Address Details
Address
2675 Winkler Ave
City
State
Zip
33901-9342
Phone Number
239-278-3600
Fax Number
239-278-3857
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
ARNP9277422 (Florida)
Definition
Definition to come...
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