IVETTE FONSECA NPI 1538989223

NPI Information

  • NPI: 1538989223
  • Provider Name: IVETTE FONSECA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1401 SE GOLDTREE DR STE 104
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (772) 905-8531

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NPI Details

Ivette Fonseca is a psychiatric/mental health nurse practitioner in Port St Lucie, FL. Ivette Fonseca NPI is 1538989223. 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:

1401 SE GOLDTREE DR STE 104
PORT ST LUCIE, FL
ZIP 34952-584
Phone: (772) 905-8531

The enumeration date for this NPI number is 10/16/2024 and was last updated on 12/3/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health11035828FLORIDAYes

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

NPI Synchronization or Removal

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