Healthcare Provider Details

I. General information

NPI: 1508702556
Provider Name (Legal Business Name): LAUREN BARTOLONE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 4TH AVE NE
NAPLES FL
34120-4939
US

IV. Provider business mailing address

2560 4TH AVE NE
NAPLES FL
34120-4939
US

V. Phone/Fax

Practice location:
  • Phone: 239-292-9841
  • Fax:
Mailing address:
  • Phone: 239-292-9841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11038496
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: