Individual
MS. ALISE MARIE PASTORIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 985-1925
(239) 321-6044
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 985-1925
(239) 468-7929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN2878722
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN2878722
FL
363LP2300X
Primary Care Nurse Practitioner
APRN2878722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300951300
—
FL
01
—
500010049
RR MEDICARE
FL
Enumeration date
07/22/2006
Last updated
08/20/2024
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