MEDICARE: DIAL-A-NURSE OF FT MYERS REGISTRY, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1457222077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAL-A-NURSE OF FT MYERS REGISTRY, INC.

Provider Business Mailing Address
First Line	:	2180 W FIRST ST STE 510
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-3217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2180 W FIRST ST STE 510
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-3217
Country	:	US
Telephone Number	:	239-939-1228
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELLEY WOLFENDALE
Credential	:
Telephone Number	:	239-939-1228

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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