Individual
EDNA ACQUAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
(239) 278-0404
Mailing address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
(239) 278-0404
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN3024342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302928000
—
FL
Enumeration date
07/02/2006
Last updated
04/02/2015
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