MEDICARE: MRS. ASHLEY ANN ALBERTS CNP

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	363LF0000X	Family Nurse Practitioner	ARNP9405448	FL

General Provider Information

NPI Number	:	1629452347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY ANN ALBERTS CNP

Provider Business Mailing Address
First Line	:	4315 METRO PARKWAY
Second Line	:	SUITE 150
City	:	FORT MYERS
State	:	FL
Zip	:	33916
Country	:	US
Telephone Number	:	239-275-4624
Fax Number	:

Provider Business Practice Location Address
First Line	:	4315 METRO PARKWAY
Second Line	:	SUITE 150
City	:	FORT MYERS
State	:	FL
Zip	:	33916
Country	:	US
Telephone Number	:	239-275-4624
Fax Number	:

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

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	07/13/2015

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