MEDICARE: MARGARET FAY ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN9216685	FL

General Provider Information

NPI Number	:	1134116114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET FAY ARNP

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-278-3903
Fax Number	:	239-415-4063

Provider Business Practice Location Address
First Line	:	1555 MATTHEW DR
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33907-1734
Country	:	US
Telephone Number	:	239-939-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	07/08/2007

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