Healthcare Provider Details

I. General information

NPI: 1053771279
Provider Name (Legal Business Name): SARAH ANNE ADAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2016
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 LINDBERGH BLVD STE 107A
FORT MYERS FL
33913-8827
US

IV. Provider business mailing address

11300 LINDBERGH BLVD STE 107A
FORT MYERS FL
33913-8827
US

V. Phone/Fax

Practice location:
  • Phone: 239-533-5700
  • Fax: 844-465-0860
Mailing address:
  • Phone: 239-533-5700
  • Fax: 844-465-0860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberARNP9324550
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberAPRN9324550
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9324550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: