Individual provider · Type 1 NPI

Keith Alan Gillis, APRN

Family Nurse Practitioner · Fort Myers, FL

NPI number 1376904334 Active

Practice location

13340 Metro Pkwy Ste 400
Fort Myers, FL 33966-4818

Fax (239) 343-1106

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN9322325 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN9322325 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1376904334

Keith Alan Gillis, APRN's National Provider Identifier is 1376904334, issued on Mar 17, 2016. 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 Apr 1, 2021.