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Mrs. Nicole W. Keller, PA
Physician Assistant in Fort Myers, Florida
NPI 1801932009

Nicole W. Keller is a Physician Assistant based in Fort Myers, FL. Nicole W. Keller practices in Fort Myers, FL and has the professional credentials of PA. The NPI Number for Nicole W. Keller is 1801932009 and holds a License No. MA052764 (Florida).

The current practice location address for Nicole W. Keller is 39 Barkley Cir, Fort Myers, FL and can be reached out via phone at 239-936-1616 and via fax at 239-936-0837.

Location: 39 Barkley Cir, Fort Myers, FL, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801932009
Provider Name
Nicole W. Keller
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
39 Barkley Cir, Fort Myers, FL, 33907-1412
Phone Number
239-936-1616
Fax Number
239-936-0837
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010911000 05 FL
5923925 01 FL AETNA
P01304910 01 FL RAILROAD MCR
1026853 01 FL STAYWELL (MEDICAID) AND WELLCARE (MEDICARE).
398591 01 FL AVMED
Y0M11 01 FL BCBS
P1023102 01 FL FREEDOM
P961366 01 FL OPTIMUM
institution
Provider Business Practice Location Address Details
Address
39 Barkley Cir
City
Fort Myers
State
Florida
Zip
33907-7531
Phone Number
239-936-1616
Fax Number
239-936-0837
person
Provider Business Mailing Address Details
Address
39 Barkley Cir
City
Fort Myers
State
Florida
Zip
33907-7531
Phone Number
239-936-1616
Fax Number
239-936-0837
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9107690 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA052764 (Pennsylvania)
Definition
Definition to come...
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