MEDICARE: MS. DEBORAH LOTTE PICCALUGA NUNEZ 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	363LA2200X	Adult Health Nurse Practitioner	ARNP 9296948	FL
2	363LG0600X	Gerontology Nurse Practitioner	ARNP 9296948	FL
3	363LA2100X	Acute Care Nurse Practitioner	APRN9296948	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962829564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH LOTTE PICCALUGA NUNEZ APRN

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	877-856-3774
Fax Number	:

Provider Business Practice Location Address
First Line	:	6376 PINE RIDGE RD UNIT 440
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3928
Country	:	US
Telephone Number	:	239-315-7123
Fax Number	:	239-315-7122

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

Provider Enumeration Date	:	03/21/2014
Last Update Date	:	01/03/2024

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