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NPI Code Detail

MEDICARE: MS. KATHLEEN MARY GIROUX-PFISTER APN

MEDICARE: MS. KATHLEEN MARY GIROUX-PFISTER APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0001095CO
2363LF0000XFamily Nurse Practitioner27701294IL
3363LF0000XFamily Nurse Practitioner209.010052IL
4363LF0000XFamily Nurse Practitioner9404489FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003151796
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN MARY GIROUX-PFISTER APN
Provider Business Mailing Address
First Line : 6945 CARLISLE CT BLDG D
Second Line :
City : NAPLES
State : FL
Zip : 34109-6883
Country : US
Telephone Number : 239-260-5891
Fax Number : 239-260-5895
Provider Business Practice Location Address
First Line : 6945 CARLISLE CT BLDG D
Second Line :
City : NAPLES
State : FL
Zip : 34109-6883
Country : US
Telephone Number : 239-260-5891
Fax Number : 239-260-5895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2012
Last Update Date : 01/18/2024

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