Healthcare Provider Details

I. General information

NPI: 1396222063
Provider Name (Legal Business Name): ELIZABETH R FRENCH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 STRINGFELLOW RD
BOKEELIA FL
33922-2016
US

IV. Provider business mailing address

14001 STRINGFELLOW RD
BOKEELIA FL
33922-2016
US

V. Phone/Fax

Practice location:
  • Phone: 239-209-2309
  • Fax:
Mailing address:
  • Phone: 239-209-2309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9324625
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number9324625
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: