Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nurse Practitioner Owned and Operated

Organization Family Nurse Practitioner · NPI 1568391407

Nurse Practitioner Owned and Operated provides Family Nurse Practitioner services in Fort Myers, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1430 Passaic Ave
Fort Myers, FL 33901-6839
Phone: (239) 628-5238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1568391407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayana Abraham — Fnp · (239) 628-5238
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 17, 2026
Mailing address1430 Passaic Ave, Fort Myers, FL 33901-6839

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