Individual provider · Type 1 NPI
Bethany Danielle Wisniewski, PA-C
Surgical Physician Assistant · Fort Myers, FL
NPI number
1619693702
Active
Practice location
6150 Diamond Centre Ct Unit 1200
Fort Myers, FL 33912-7135
Mailing address
3040 Oasis Grand Blvd Apt 2202
Fort Myers, FL 33916-1607
Other practice locations
- 1995 E Oakland Park Blvd Ste 310, Fort Lauderdale, FL 33306-1138 · (954) 791-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA9116636 (FL) |
| Surgical Physician Assistant Primary | 363AS0400X | PA9116636 (FL) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Fort Myers
- Jordan Antonio Facey, PA-CSurgical Physician Assistant Fort Myers, FL NPI 1003560194
- Jamison Dicus, PA-CSurgical Physician Assistant Fort Myers, FL NPI 1013261197
- Steven Milhauser, PASurgical Physician Assistant Fort Myers, FL NPI 1013969328
- Anastasia D. Monzone, PASurgical Physician Assistant Fort Myers, FL NPI 1023446689
- Alex Richard Reynolds, PA-CSurgical Physician Assistant Fort Myers, FL NPI 1043784432
- Sarah Johnson, PA-CSurgical Physician Assistant Fort Myers, FL NPI 1043965650
- Crystal Weaks, PA-CSurgical Physician Assistant Fort Myers, FL NPI 1053348300
- Kristina Daniela McColgan, PA-CSurgical Physician Assistant Fort Myers, FL NPI 1083197420
About NPI 1619693702
Bethany Danielle Wisniewski, PA-C's National Provider Identifier is 1619693702, issued on Oct 19, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Myers, FL. The record was last updated on Feb 13, 2025.