Individual provider · Type 1 NPI

Leah Marie Fasolo, APRN, ARNP

Gerontology Nurse Practitioner · Fort Myers, FL

NPI number 1174992739 Active

Practice location

13340 Metro Pkwy Ste 200
Fort Myers, FL 33966-4818

Call (239) 343-0550 Map

Fax (239) 343-4013

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Other practice locations

1025 Silas Deane Hwy, Wethersfield, CT 06109-4229 · (860) 696-2400
13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 · (239) 225-1306
391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 · (239) 369-4088
9800 S Healthpark Dr Ste 320, Fort Myers, FL 33908-3630 · (239) 343-6350

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	9477790 (FL)
Gerontology Nurse Practitioner Primary	363LG0600X	APRN9477790 (FL)

Gerontology Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1174992739

Leah Marie Fasolo, APRN, ARNP's National Provider Identifier is 1174992739, issued on Sep 24, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Myers, FL. The record was last updated on Apr 1, 2021.