Individual
CLARIBETH JIMENEZ BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8260 GLADIOLUS DR, FORT MYERS, FL 33908-4156
(239) 437-5755
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11008680
FL
363LP0200X
Pediatric Nurse Practitioner
APRN11008680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110808000
—
FL
Enumeration date
09/21/2020
Last updated
10/20/2022
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