MEDICARE: MRS. SUE ANN DAY 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	363LA2200X	Adult Health Nurse Practitioner	ARNP1266572	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00471140	OTHER	FL	RAILROAD MEDICARE
3	U1617V	OTHER	FL	MEDICARE ID

Other Identifiers

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

General Provider Information

NPI Number	:	1265404149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUE ANN DAY ARNP

Provider Business Mailing Address
First Line	:	14541 CYPRESS TRACE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-6860
Country	:	US
Telephone Number	:	239-590-0875
Fax Number	:

Provider Business Practice Location Address
First Line	:	4790 BARKLEY CIR
Second Line	:	BUILDING A
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7543
Country	:	US
Telephone Number	:	239-275-8882
Fax Number	:

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	11/27/2023

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