Redecker, Nancy

Redecker, Nancy is an individual health care provider with primary practice located at 15901 Bass Rd Suite 283, Fort Myers FL 33908-3838. 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. Redecker, Nancy can be contacted via phone (239) 343-6100.

Contact Information

Primary practice address
15901 Bass Rd Suite 283 Fort Myers FL 33908-3838
Phone: (239) 343-6100
Fax: (239) 343-9925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN1340882 Florida

Profile Details

NPI number 1275521684
LBN Legal business name Redecker, Nancy
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 30th, 2021 - 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 1275521684 NPPES
Florida MEDICAID 340302500

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