THE FOREVER YOUNG LLC NPI 1346171444

NPI Information

  • NPI: 1346171444
  • Provider Name: THE FOREVER YOUNG LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 19727 THE PLACE BLVD
    ESTERO, FL
    ZIP 33928
  • Phone: (239) 220-8829

Map and Directions

Get Directions

NPI Details

THE FOREVER YOUNG LLC is an adult health nurse practitioner in Estero, FL. THE FOREVER YOUNG LLC NPI is 1346171444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19727 THE PLACE BLVD
ESTERO, FL
ZIP 33928
Phone: (239) 220-8829

The provider's authorized official is Lori K Axford .
The authorized official title is Nurse Practitioner and has the following contact phone number (425) 971-0990.

The enumeration date for this NPI number is 5/27/2026 and was last updated on 5/27/2026.

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
1363LA2200XNurse PractitionerAdult HealthYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.