Individual provider · Type 1 NPI

Doreen Destefano

Adult Health Nurse Practitioner · Fort Myers, FL

NPI number 1215417951 Active

Practice location

12734 Kenwood Ln Ste 84
Fort Myers, FL 33907-5638

Fax (239) 791-1072

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	APRN1100138 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1215417951

Doreen Destefano's National Provider Identifier is 1215417951, issued on Aug 21, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 13, 2019.