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1467457374

NPI Code Detail

MEDICARE: DEBRA KAY FIKES ACNP

MEDICARE: DEBRA KAY FIKES ACNP

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	363LA2100X	Acute Care Nurse Practitioner	ARNP9487292	FL
2	363LA2100X	Acute Care Nurse Practitioner	RN126896NP	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	511I500329	OTHER	GA	MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467457374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA KAY FIKES ACNP

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-6341
Fax Number	:	239-343-6342

Provider Business Practice Location Address
First Line	:	9981 S HEALTHPARK DR STE 156
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3618
Country	:	US
Telephone Number	:	239-343-6341
Fax Number	:	239-343-6342

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/12/2022

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Directions to “ DEBRA KAY FIKES ACNP” Practice Location

Language	Start Address	Practice Location

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