Organization · Type 2 NPI
Healthy Life Medical Group LLC
Nurse Practitioner · Fort Myers, FL
Practice location
19115 Evergreen Rd
Fort Myers, FL 33967-3612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1669244158
Healthy Life Medical Group LLC's National Provider Identifier is 1669244158, issued on Oct 27, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Dec 12, 2025.