Individual
OLIVIA LAUREN DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5053 KENSINGTON HIGH ST, NAPLES, FL 34105-5647
(321) 446-1457
Mailing address
5053 KENSINGTON HIGH ST, NAPLES, FL 34105-5647
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9479218
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11026673
FL
Other
Enumeration date
11/21/2022
Last updated
09/15/2023
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