Individual
LISA MARIE MANFREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
708 DEL PRADO BLVD S STE 2, CAPE CORAL, FL 33990-2676
(239) 424-2120
(239) 424-4017
Mailing address
708 DEL PRADO BLVD S STE 2, CAPE CORAL, FL 33990-2676
(239) 424-2120
(239) 424-4017
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11014095
FL
Other
Enumeration date
07/21/2021
Last updated
01/17/2022
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