MEDICARE: NAAMA BARDETTE

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	163W00000X	Registered Nurse	9573156	FL

General Provider Information

NPI Number	:	1831066794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAAMA BARDETTE

Provider Business Mailing Address
First Line	:	9419 IVY BROOK RUN APT 1202
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7769
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9419 IVY BROOK RUN APT 1202
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7769
Country	:	US
Telephone Number	:	813-390-8121
Fax Number	:

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

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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Directions to “ NAAMA BARDETTE ” Practice Location

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