Berry, Debra
Berry, Debra is an individual health care provider with primary practice located at 5216 Clayton Ct , Fort Myers FL 33907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Berry, Debra can be contacted via phone (239) 343-8260.Contact Information
Primary practice address
5216 Clayton Ct
Fort Myers FL 33907
Phone: (239) 343-8260
Fax: (239) 343-8261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN9269907 | Florida |
Profile Details
| NPI number | 1104119767 |
|---|---|
| LBN Legal business name | Berry, Debra |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2011 |
| Last updated | Mar 24th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104119767 | NPPES |
| Florida | MEDICAID | 003511500 |
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