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General NPI Number Information
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NPI Number | 1275417149
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Entity Type | Individual
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Provider Name | ANDREA CHRISTIE MAGEWICK APRN-C
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 13470 PARKER COMMONS BLVD STE 101
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City | FORT MYERS
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State | FL
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Zip | 33912-1850
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Country | US
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Telephone | 239-379-8925
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Fax |
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Provider Business Mailing Address
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Address Line | 936 SW 28TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-4295
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Country | US
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Telephone | 586-668-1106
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11041307
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License Number State | FL
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