DOREEN DESTEFANO (NPI# 1215417951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215417951 |
| Entity Type | Individual |
| Full Name | DOREEN DESTEFANO |
| Practice Address |
12734 Kenwood Ln Ste 84 Fort Myers FL 33907-5638 |
| Practice Telephone | 2394252900 |
| Practice Fax Number | 2397911072 |
| Mailing Telephone | 2394252900 |
| Mailing Fax Number | 2397911072 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN1100138 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12734 KENWOOD LN STE 84 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341450 | Kimberly Debow | Nurse Practitioner | 14646 Aeries Way Dr, Fort Myers, FL 33912-1703 | 2019-02-06 |
| 1144704917 | Adelene Frances Tolisano | Nurse Practitioner | 6840 Fairview St, Fort Myers, FL 33966-1133 | 2018-09-18 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1891127791 | Kimberly A. Litka | Nurse Practitioner | 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 33912-4367 | 2013-08-01 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1376694778 | Melanie Makar | Nurse Practitioner | 1390 Royal Palm Square Blvd, Fort Myers, FL 33919-1077 | 2007-01-15 |
| 1598814972 | Deborah Wince Chapa | Nurse Practitioner | 8925 Colonial Center Drive, Suite 1000, Fort Myers, FL 33905-7810 | 2007-01-09 |
| 1316048895 | Laurie Haefele | Nurse Practitioner | 11215 Metro Pkwy, Fort Myers, FL 33966-1206 | 2006-09-26 |
| 1457451130 | Jo Anne Theresa Kowalski | Nurse Practitioner | 17050 Coral Cay Ln, Fort Myers, FL 33908-5073 | 2006-09-23 |
| 1386665206 | Lynda Rose Firment | Nurse Practitioner | 6161 Tidewater Island Cir, Fort Myers, FL 33908-4681 | 2006-07-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DOREEN DESTEFANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.