Individual
AMY R PHIPPS
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) 343-6050
(239) 343-6136
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-9909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9321376
FL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
APRN9321376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017558800
—
FL
Enumeration date
09/23/2008
Last updated
03/31/2021
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