Individual
KELLY DONATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
3209 ANTICA ST, FORT MYERS, FL 33905-1503
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9237289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS
G3949
FL
01
—
RAILROAD MEDICARE
P00277773
FL
Enumeration date
02/15/2006
Last updated
08/03/2007
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