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NPI Code Detail

MEDICARE: MS. GLORIA SHUBA FNP

MEDICARE: MS. GLORIA SHUBA FNP
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
1363LF0000XFamily Nurse PractitionerLG0000373DE
2363LF0000XFamily Nurse PractitionerARNP9414804FL

General Provider Information

NPI Number : 1518972363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GLORIA SHUBA FNP
Provider Business Mailing Address
First Line : 737 CAPE CORAL PARKWAY EAST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914
Country : US
Telephone Number : 302-242-9199
Fax Number :
Provider Business Practice Location Address
First Line : 737 CAPE CORAL PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-8551
Country : US
Telephone Number : 302-242-9199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/21/2022

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