Individual provider · Type 1 NPI

Amanda Shively

Family Nurse Practitioner · Fort Myers, FL

NPI number 1982202412 Active

Practice location

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Fax (855) 979-5701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11009633 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1982202412

Amanda Shively's National Provider Identifier is 1982202412, issued on Oct 16, 2020. 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 Jan 18, 2024.