MR. ARNOLD WILLIAM FACKLAM APRN NPI 1356509129

NPI Information

NPI: 1356509129
Provider Name: MR. ARNOLD WILLIAM FACKLAM, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
5216 CLAYTON COURT
FORT MYERS, FL
ZIP 33907
Phone: (239) 343-8260
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MR. Arnold William Facklam, APRN is an acute care nurse practitioner in Fort Myers, FL with 16 years of experience. MR. Arnold William Facklam, APRN NPI is 1356509129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5216 CLAYTON COURT
FORT MYERS, FL
ZIP 33907
Phone: (239) 343-8260
Fax: (239) 343-8261

The NPI 1356509129 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 5/29/2008 and was last updated on 3/25/2021.

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
1	363LA2100X	Nurse Practitioner	Acute Care	APRN9420829	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016126500	MEDICAID	FLORIDA
2	J400001352	OTHER	NEW YORK	MEDICARE PTAN OBS ASSOCIATES U OF R

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: 11/14/2023

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.

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