Grodson, Dina Esther

Grodson, Dina Esther is an individual health care provider with primary practice located at 12550 New Brittany Blvd Ste 100 , Fort Myers FL 33907-3655. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grodson, Dina Esther can be contacted via phone (239) 343-9180.

Contact Information

Primary practice address
12550 New Brittany Blvd Ste 100 Fort Myers FL 33907-3655
Fax: (239) 343-9188
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9284010 Florida
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X APRN9284010 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9284010 Florida

Profile Details

NPI number 1497259394
LBN Legal business name Grodson, Dina Esther
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2018
Last updated Jul 28th, 2022 - about 3 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 1497259394 NPPES
Florida MEDICAID 024706200

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