Individual provider · Type 1 NPI

Pawanard Modpradit, APRN

Family Nurse Practitioner · Fort Myers, FL

NPI number 1245905173 Active

Practice location

8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN11005605 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN11005605 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1245905173

Pawanard Modpradit, APRN's National Provider Identifier is 1245905173, issued on Aug 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Myers, FL. The record was last updated on Nov 10, 2021.