Healthcare Provider Details

I. General information

NPI: 1245034883
Provider Name (Legal Business Name): YADEXY BARBARA FERNANDEZ GARCIA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 8TH ST N
NAPLES FL
34102-5519
US

IV. Provider business mailing address

975 GROVE DR
NAPLES FL
34120-1424
US

V. Phone/Fax

Practice location:
  • Phone: 239-649-3310
  • Fax: 239-261-5571
Mailing address:
  • Phone: 239-234-9983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11038590
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: