Healthcare Provider Details

I. General information

NPI: 1619896362
Provider Name (Legal Business Name): MARILYN SAINT-AUBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 NORTHBROOKE PLAZA DR STE 305
NAPLES FL
34119-8102
US

IV. Provider business mailing address

12012 ARBOR TRACE DR
FORT MYERS FL
33913-9370
US

V. Phone/Fax

Practice location:
  • Phone: 239-940-0082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11047664
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: