MEDICARE: EMILY LAESER ARNP

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
1	363L00000X	Nurse Practitioner	ARNP9286385	FL

General Provider Information

NPI Number	:	1174984561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY LAESER ARNP

Provider Business Mailing Address
First Line	:	3090 WINDSONG CT #102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13470 PARKER COMMONS BLVD STE 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-1850
Country	:	US
Telephone Number	:	239-415-7576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/17/2018

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Directions to “ EMILY LAESER ARNP” Practice Location

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