Individual
DENYELLE LYN RISCASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2780 CLEVELAND AVE, FORT MYERS, FL 33901-5858
(239) 343-3727
(239) 343-2086
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3332
(239) 343-3921
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9167633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024731200
—
FL
01
—
9167633
APRN
FL
Enumeration date
09/06/2014
Last updated
08/26/2024
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