MEDICARE: ISLEYDIS ARIAS APRN

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	APRN11019129	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A620400857820	OTHER	FL	DRIVER LICENSE

General Provider Information

NPI Number	:	1871230268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISLEYDIS ARIAS APRN

Provider Business Mailing Address
First Line	:	13670 METROPOLIS AVE STE 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4346
Country	:	US
Telephone Number	:	239-410-9453
Fax Number	:

Provider Business Practice Location Address
First Line	:	13670 METROPOLIS AVE STE 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4346
Country	:	US
Telephone Number	:	239-410-9453
Fax Number	:

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

Provider Enumeration Date	:	05/17/2022
Last Update Date	:	12/01/2025

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Directions to “ ISLEYDIS ARIAS APRN” Practice Location

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