Individual
ANIECE THERMIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4490 20TH ST NE, NAPLES, FL 34120-0479
(239) 209-7894
Mailing address
4490 20TH ST NE, NAPLES, FL 34120-0479
(239) 209-7894
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
363L00000X
Nurse Practitioner
Primary
9259996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005583100
—
FL
Enumeration date
05/24/2013
Last updated
07/11/2016
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