MS. MARIYA BOZHENOK PA-C NPI 1194077487

NPI Information

  • NPI: 1194077487
  • Provider Name: MS. MARIYA BOZHENOK, PA-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 4101 EVANS AVE
    FORT MYERS, FL
    ZIP 33901
  • Phone: (239) 939-3456

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NPI Details

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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CarePA9106816FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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