Acquavella, Edna

Acquavella, Edna is an individual health care provider with primary practice located at 1550 Barkley Cir , Fort Myers FL 33907-4539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Acquavella, Edna can be contacted via phone (239) 938-2000.

Contact Information

Primary practice address
1550 Barkley Cir Fort Myers FL 33907-4539
Phone: (239) 938-2000
Fax: (239) 278-0404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN3024342 Florida

Profile Details

NPI number 1477582245
LBN Legal business name Acquavella, Edna
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Apr 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477582245 NPPES
Florida MEDICAID 302928000

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