Organization · Type 2 NPI
Physician Extenders PA
Family Nurse Practitioner · Port Charlotte, FL
NPI number
1720250855
Active
Practice location
3028 Caring Way Unit 1
Port Charlotte, FL 33952-5300
Fax (941) 300-4905
Mailing address
PO Box 512700
Punta Gorda, FL 33951-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP3365012 (FL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Port Charlotte
About NPI 1720250855
Physician Extenders PA's National Provider Identifier is 1720250855, issued on Mar 28, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Charlotte, FL. The record was last updated on Aug 4, 2026.