Individual
EVIE LYN BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1217 PIPER BLVD, STE 101, NAPLES, FL 34110-1433
(239) 514-2005
(239) 593-0067
Mailing address
1217 PIPER BLVD STE 101, NAPLES, FL 34110-1433
(239) 514-2005
(239) 593-0067
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704276952
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
9388499
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9388499
FL
Other
Enumeration date
07/21/2014
Last updated
05/01/2023
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