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1710600663 NPI number — MICHELE ROSELLE LI CAUSI RD, ARNP, FNP-C, CDE

NPI Number: 1710600663
Health Care Provider/Practitioner: MICHELE ROSELLE LI CAUSI RD, ARNP, FNP-C, CDE

Information about “1710600663” NPI (MICHELE ROSELLE LI CAUSI RD, ARNP, FNP-C, CDE) exists in 1710600663 in HTML format HTML  |  1710600663 in plain Text format TXT  |  1710600663 in PDF (Portable Document Format) PDF  |  1710600663 in an XML format XML  formats.

NPI Number : 1710600663 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710600663",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LI CAUSI",
    "FirstName": "MICHELE",
    "MiddleName": "ROSELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RD, ARNP, FNP-C, CDE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SILANO LOTT",
    "OtherFirstName": "MICHELE",
    "OtherMiddleName": "ROSELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "APRN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 2147",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT MYERS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33902-2147",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-495-4490",
    "MailingAddressFaxNumber": "239-495-4491",
    "FirstLinePracticeLocationAddress": "2720 S 6TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCSON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85713-4701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-475-5418",
    "PracticeLocationAddressFaxNumber": "520-300-8034",
    "EnumerationDate": "09/26/2022",
    "LastUpdateDate": "10/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "ND5698",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "324009",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WD0400X",
          "TaxonomyName": "Diabetes Educator Registered Nurse",
          "LicenseNumber": "RN9529931",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN11022008",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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