MEDICARE: LORI MAE CROUSE RN

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	9587918	FL

General Provider Information

NPI Number	:	1992684849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI MAE CROUSE RN

Provider Business Mailing Address
First Line	:	2776 CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-5864
Country	:	US
Telephone Number	:	239-343-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2728 SW 18TH PL
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4022
Country	:	US
Telephone Number	:	239-898-2557
Fax Number	:

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

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

Similar Medicare Providers

1093361396 — ORIALYS GONZALEZ
Practice Location Address:

4022 CHIQUITA BLVD S
CAPE CORAL, FL
33914-5646

Practice Phone: 239-549-3201
Practice Fax:

1497179444 — VITALIDAD OF CAPE CORAL LLC
Practice Location Address:

3101 SE 20TH PL
CAPE CORAL, FL
33904-4022

Practice Phone: 239-218-1607
Practice Fax:

1407466840 — DOMINIC CORDISCO
Practice Location Address:

211 HANCOCK BRIDGE PKWY UNIT 7
CAPE CORAL, FL
33990-4022

Practice Phone: 239-677-4945
Practice Fax: 239-800-4854

1487581187 — JENNIFER CASTANEDA
Practice Location Address:

3221 CHIQUITA BLVD S
CAPE CORAL, FL
33914-4288

Practice Phone: 239-910-0712
Practice Fax: 855-237-3130

1174450886 — BROOKE GROVES
Practice Location Address:

3221 CHIQUITA BLVD S
CAPE CORAL, FL
33914-4288

Practice Phone: 239-910-0712
Practice Fax: 855-237-3130

1952238503 — D DIVINE SERENITY LIVING LLC
Practice Location Address:

3518 ASPIRE CIR APT 5409
CAPE CORAL, FL
33914-5595

Practice Phone: 239-990-1464
Practice Fax:

Directions to “ LORI MAE CROUSE RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.