Individual provider · Type 1 NPI

Nicole Outten, MD

Student in an Organized Health Care Education/Training Program · Fort Myers, FL

NPI number 1568619476 Active

Practice location

2776 Cleveland Ave
Fort Myers, FL 33901

Call (239) 343-2606 Map

Fax (239) 343-3695

Other practice locations

  • 3592 Broadway Ste 100, Fort Myers, FL 33901-8056 · (239) 345-8001
  • 2776 Cleveland Ave, Fort Myers, FL 33901 · (239) 343-2606

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9104426 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000X43349 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568619476

Nicole Outten, MD's National Provider Identifier is 1568619476, issued on Aug 21, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Myers, FL. The record was last updated on Jun 16, 2025.