Individual
CHARLOTTE EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 SAN CASCIANO LN, BRADENTON, FL 34208-0601
(443) 616-6140
Mailing address
202 SAN CASCIANO LN, BRADENTON, FL 34208-0601
(443) 616-6140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11033664
FL
363LA2200X
Adult Health Nurse Practitioner
11033664
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11033664
FL
363LP2300X
Primary Care Nurse Practitioner
11033664
FL
Other
Enumeration date
06/27/2024
Last updated
02/23/2026
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