Individual
LETOYA CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 323-1000
Mailing address
PO BOX 483, LEHIGH ACRES, FL 33970-0483
(239) 321-9445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11016488
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11016488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113336000
—
FL
Enumeration date
01/03/2022
Last updated
05/22/2024
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