Individual
BRENDA B LISTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
23 BARKLEY CIRCLE, FORT MYERS, FL 33907
(239) 333-1177
(239) 939-1177
Mailing address
23 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 333-1177
(239) 333-1169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 1201052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003083600
—
FL
Enumeration date
07/25/2006
Last updated
01/23/2018
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