Individual
MS. DONNA ZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13340 METRO PKWY STE 200, FORT MYERS, FL 33966
(239) 343-0550
(239) 343-4013
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0550
(239) 343-4013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11002328
FL
364S00000X
Clinical Nurse Specialist
APRN11002328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102841200
—
FL
Enumeration date
09/22/2006
Last updated
03/24/2021
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