Healthcare Provider Details

I. General information

NPI: 1245502210
Provider Name (Legal Business Name): CINDILEE HARTNETT LUKACS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 310
NAPLES FL
34102-5889
US

IV. Provider business mailing address

311 9TH ST N STE 310
NAPLES FL
34102-5889
US

V. Phone/Fax

Practice location:
  • Phone: 239-436-6180
  • Fax: 239-624-8161
Mailing address:
  • Phone: 239-624-8160
  • Fax: 239-624-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 1565802
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1565802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: