MS. MARIYA BOZHENOK PA-C NPI 1194077487

NPI Information

MS. Mariya Bozhenok, PA-C is a primary care nurse practitioner in Fort Myers, FL. MS. Mariya Bozhenok, PA-C NPI is 1194077487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 EVANS AVE
FORT MYERS, FL
ZIP 33901
Phone: (239) 939-3456
Fax: (239) 790-2432

The NPI 1194077487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2012 and was last updated on 6/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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