Healthcare Provider Details

I. General information

NPI: 1831925551
Provider Name (Legal Business Name): KALI HELLER-SPENCER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11181 HEALTH PARK BLVD STE 2220
NAPLES FL
34110-5734
US

IV. Provider business mailing address

2822 BLOSSOM WAY
NAPLES FL
34120-5684
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-6780
  • Fax: 239-624-6781
Mailing address:
  • Phone: 239-682-5335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07240881
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: