Individual
KIMBERLY DEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14646 AERIES WAY DR, FORT MYERS, FL 33912-1703
(239) 292-1921
Mailing address
14646 AERIES WAY DR, FORT MYERS, FL 33912-1703
(239) 292-1921
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11001326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9206956
RN
FL
Enumeration date
02/06/2019
Last updated
02/06/2019
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