=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649288358
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FAYE L ARMSTRONG ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2006
-----------------------------------------------------
Last Update Date | 09/14/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1108 GOODLETTE RD N
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34102-5451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-434-0303
-----------------------------------------------------
Fax | 239-262-8730
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15051 S TAMIAMI TRL SUITE 203
-----------------------------------------------------
City | FORT MYERS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33908-5182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-437-8810
-----------------------------------------------------
Fax | 239-313-2555
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | ARNP 9264844
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------