Individual
AMY BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8595 COLLEGE PKWY, SUITE 250, FORT MYERS, FL 33919-5191
(239) 481-9999
Mailing address
3508 SW 8TH ST, CAPE CORAL, FL 33991-1616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9271325
FL
363LP2300X
Primary Care Nurse Practitioner
4704393964
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9271325
FL
Other
Enumeration date
11/18/2013
Last updated
08/25/2022
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