Individual
DEBRA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5216 CLAYTON CT, FORT MYERS, FL 33907
(239) 343-8260
(239) 343-8261
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-8261
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9269907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003511500
—
FL
Enumeration date
05/16/2011
Last updated
03/24/2021
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