Individual
MS. SAMIA AKKOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
16271 BASS RD, FORT MYERS, FL 33908-3616
(239) 343-7100
(239) 468-7924
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7100
(239) 468-7924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11010446
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11010446
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11010446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111565700
—
FL
Enumeration date
12/14/2020
Last updated
12/07/2023
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