Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEETTA L DEBAULT, ARNP
ActiveGerontological Nurse Practitioner · FORT MYERS, FL
Registration Details
- NPI Number
- 1477960888
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2014 (11.768901876881 yrs)
- Last Updated
- Dec 20, 2019
- License
-
ARNP9277422 (FL)
Practice Information
- Address
-
2232 GRAND AVEFORT MYERS, FL, 339013717Browse FL providers · Browse ZIP 33901
- Phone
- 2393442330
- Fax
- 2393324701
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in FORT MYERS, FL
| Name | Credential | NPI |
|---|---|---|
| CAROL D. CLARK | ARNP, BC | 1457423055 |
| MARGARET MARY O'CONNOR | APRN | 1538202452 |
| JOHNNY MUZAFFAR IQBAL | APRN | 1295007714 |
| CHIH HUNG KE | ARNP | 1508281031 |
| KIMBERLY HOGAN | ARNP | 1912310509 |
| JOSHUA FRY | ARNP | 1720460124 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.