Fazio, Kristin Trout

Fazio, Kristin Trout is an individual health care provider with primary practice located at 9800 S Healthpark Dr Ste 205 , Fort Myers FL 33908-3630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Fazio, Kristin Trout can be contacted via phone (239) 343-7130.

Contact Information

Primary practice address
9800 S Healthpark Dr Ste 205 Fort Myers FL 33908-3630
Fax: (239) 343-7185
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN9268943 Florida

Profile Details

NPI number 1417234147
LBN Legal business name Fazio, Kristin Trout
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated May 24th, 2023 - about 2 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 1417234147 NPPES
Florida MEDICAID 004323400

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