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NPI Code Detail

MEDICARE: DEBRA KAY FIKES ACNP

MEDICARE:   DEBRA KAY FIKES  ACNP
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
1363LA2100XAcute Care Nurse PractitionerARNP9487292FL
2363LA2100XAcute Care Nurse PractitionerRN126896NPGA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8511I500329OTHERGAMEDICARE PART B

Other Identifiers

General Provider Information

NPI Number : 1467457374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA KAY FIKES ACNP
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-6341
Fax Number : 239-343-6342
Provider Business Practice Location Address
First Line : 9981 S HEALTHPARK DR STE 156
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3618
Country : US
Telephone Number : 239-343-6341
Fax Number : 239-343-6342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/12/2022

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