Individual
DEBORAHLIN HUXTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2830 WINKLER AVE STE 207, FORT MYERS, FL 33916-9301
(239) 215-4600
Mailing address
6360 TECHSTER BLVD STE 1, FORT MYERS, FL 33966-4805
(239) 223-2751
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN9291074
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9291074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025099000
—
FL
Enumeration date
12/27/2017
Last updated
06/05/2019
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