BRENDA KAY EASTHAM


Address: 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905
Phone: 2393439560

BRENDA KAY EASTHAM (NPI# 1992083265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992083265
Entity Type Individual
Full Name BRENDA KAY EASTHAM
Other Name BRENDA K HERTLEIN EASTHAM
Credential APRN
Practice Address 8925 Colonial Center Dr Ste 1000
Fort Myers
FL 33905
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 2393439560
Practice Fax Number 2393439624
Mailing Telephone 2393439560
Mailing Fax Number 2393439624
Enumeration Date 2011-08-03
Last Update Date 2020-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN9441580 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 019276800 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8960 Colonial Center Dr, Suite 206, Fort Myers, FL 339057810 2393439560 2393439624

Office Location

Street Address 8925 COLONIAL CENTER DR STE 1000
City FORT MYERS
State FL
Zip Code 33905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033199567 Susan Cring Rankin Nurse Practitioner 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 2006-01-19
1962019836 Tia Danielle Gloster Nurse Practitioner 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 2020-09-25
1225641780 Jacqueline Mary Bruening Wendorf Social Worker 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 2020-08-25
1982054078 Diana Khalil Internal Medicine 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 2016-06-20
1144679739 Leonalba Martinez Internal Medicine 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 2016-06-06
1083008494 Jacquiline N Greenwald Nurse Practitioner 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 2015-03-24
1629480603 Teresa Thompson Nurse Practitioner 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 2014-05-27
1972859346 Christina Marie Caffee Nurse Practitioner 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 2012-08-03
1437414711 Jonathan Wayne Vonkoenig Family Medicine 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 2012-07-12
1871858621 Marion O'hagan Nurse Practitioner 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 2012-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811476211 Lisa Nicole Campbell Nurse Practitioner 2850 Via Campania St, Fort Myers, FL 33905 2018-08-07
1538670260 Doctorguarin LLC Clinic/Center 3143 Antica St, Fort Myers, FL 33905 2017-10-20
1366828931 Dawn Bradley Arnp Pllc Nurse Practitioner 3056 Champion Ring Rd, Ft Myers, FL 33905 2015-08-06
1720480551 Yohana Pierre Villarroel Licensed Practical Nurse 2789 Ortiz Ave., Fort Myers, FL 33905 2014-09-24
1639592090 Hamprenate Service Case Manager/Care Coordinator 2789 Oritz Avenue, Fort Myere, FL 33905 2014-01-21
1255688743 Ronak B Patel Pharmacist 9365 Via Murano Ct, Fort Myers, FL 33905 2012-08-14
1477824852 Joseph Francis Kusiak Plastic Surgery 3320 Shady Bend, Fort Myers, FL 33905 2012-01-18
1336447838 Vicky Brooks Nurse Practitioner 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 2011-03-08
1790898666 Access Medical South, Lc Durable Medical Equipment & Medical Supplies 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 2006-08-16
1780691600 Arthur Lee Strauss Social Worker 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 2006-08-02
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1215417951 Doreen Destefano Nurse Practitioner 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907-5638 2018-08-21
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
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33905

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Dataset Information

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.

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