Individual
IVONNE SCHUSSER-HEAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9179960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306694100
—
FL
01
—
G3786
BSFL
FL
01
—
P00309167
MCRR
FL
01
—
U5100Z
MCR
FL
Enumeration date
10/26/2005
Last updated
12/07/2021
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