Individual
KRYSTAL K CASANOVA ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.
Contact information
Practice address
16230 SUMMERLIN RD STE 215, FORT MYERS, FL 33908-5769
(239) 343-7474
(239) 343-4190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1500
(239) 424-1423
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
APRN11002846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103687500
—
FL
Enumeration date
06/20/2019
Last updated
02/11/2025
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