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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETHANY DANIELLE WISNIEWSKI, PA-C

Active

BETHANY DANIELLE WISNIEWSKI, PA-C is a Surgical Physician Assistant healthcare provider located in FORT MYERS, Florida. NPI 1619693702 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · FORT MYERS, FL

Registration Details

NPI Number
1619693702
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2022 (3.8419043394582 yrs)
Last Updated
Feb 13, 2025
Licenses
PA9116636 (FL)
PA9116636 (FL)

Practice Information

Address
6150 DIAMOND CENTRE CT UNIT 1200
FORT MYERS, FL, 339127135
Browse FL providers · Browse ZIP 33912
Phone
2393449786
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in FORT MYERS, FL

Name Credential NPI
STEPHANIE A LAGE PA-C 1346230653
ANN V BROCK P.A. 1689640732
ELAINE M FOURNIER P.A. 1427024579
BRUCE A. PATZWAHL PA-C 1194787804
PATRICK G MORA PA-C 1437112638
STEVEN MILHAUSER PA 1013969328
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.