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NPI Code Detail

MEDICARE: MRS. KELLY LYNN ARIOLA

MEDICARE: MRS. KELLY LYNN ARIOLA
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 Practitioner9286678FL

General Provider Information

NPI Number : 1093148611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY LYNN ARIOLA
Provider Business Mailing Address
First Line : 6323 COCOS DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4622
Country : US
Telephone Number : 239-200-7131
Fax Number :
Provider Business Practice Location Address
First Line : 6323 COCOS DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4622
Country : US
Telephone Number : 239-200-7131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2013
Last Update Date : 05/18/2026

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Directions to “ MRS. KELLY LYNN ARIOLA ” Practice Location

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