Individual
EDDIE DENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-8250
(239) 624-8251
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-8250
(239) 624-8251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9354510
FL
363LA2100X
Acute Care Nurse Practitioner
9354510
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
9354510
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11000198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017SG
BCBS
FL
05
—
101511900
—
FL
Enumeration date
10/13/2018
Last updated
02/08/2021
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