Individual
MARY ANITA MILLER DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2230 VENETIAN CT, NAPLES, FL 34109-8712
(239) 236-5448
Mailing address
6360 TECHSTER BLVD STE 1, FORT MYERS, FL 33966-4805
(239) 223-2751
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9402467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101737900
—
FL
Enumeration date
11/12/2018
Last updated
06/05/2019
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