Individual
ANGELICA A LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
925 MARBLE DR, NAPLES, FL 34104-0818
(510) 205-6721
Mailing address
925 MARBLE DR, NAPLES, FL 34104-0818
(510) 205-6721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11040618
FL
Other
Enumeration date
04/07/2014
Last updated
07/07/2025
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