MEDICARE: NANCY COURTNEY RRT

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	227900000X	Registered Respiratory Therapist	RT2713	FL

General Provider Information

NPI Number	:	1477070977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY COURTNEY RRT

Provider Business Mailing Address
First Line	:	1165 LAKE MCGREGOR DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-6213
Country	:	US
Telephone Number	:	239-940-5144
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 LAKE MCGREGOR DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-6213
Country	:	US
Telephone Number	:	239-940-5144
Fax Number	:

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

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	07/21/2022

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