Individual
NICOLE ANN ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-5000
Mailing address
5939 BARCLAY LN, NAPLES, FL 34110-7306
(239) 784-1761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9428262
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11024478
FL
Other
Enumeration date
02/02/2023
Last updated
03/16/2023
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