Individual
KRISTA MARZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-4259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-4258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11028365
FL
363LF0000X
Family Nurse Practitioner
11028365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121340400
—
FL
Enumeration date
08/29/2023
Last updated
06/13/2024
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