Individual
DESIREE NICOLII STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1115 E GONZALEZ ST, PENSACOLA, FL 32503-6050
(239) 690-6906
(850) 483-1146
Mailing address
1115 E GONZALEZ ST, PENSACOLA, FL 32503-6050
(239) 690-6906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11013529
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11013529
FL
Other
Enumeration date
06/30/2021
Last updated
03/11/2026
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