Individual
KRISTIN TROUT FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
9800 S HEALTHPARK DR STE 205, FORT MYERS, FL 33908-3630
(239) 343-7130
(239) 343-7185
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7130
(239) 343-7185
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN9268943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004323400
—
FL
Enumeration date
11/09/2011
Last updated
05/24/2023
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