MICHELLE DADDARIO APRN NPI 1639440936

NPI Information

NPI: 1639440936
Provider Name: MICHELLE DADDARIO, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8925 COLONIAL CENTER DR STE 2001
FORT MYERS, FL
ZIP 33905
Phone: (239) 343-9567
Get Directions

Michelle Daddario, APRN is a family nurse practitioner in Fort Myers, FL. Michelle Daddario, APRN NPI is 1639440936. 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:

8925 COLONIAL CENTER DR STE 2001
FORT MYERS, FL
ZIP 33905
Phone: (239) 343-9567
Fax: (239) 343-9571

The NPI 1639440936 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 1/18/2012 and was last updated on 3/31/2021.

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	363LF0000X	Nurse Practitioner	Family	APRN11002447	FLORIDA	Yes
2	364SX0200X	Clinical Nurse Specialist	Oncology	APRN11002447	FLORIDA	No

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	004908	OTHER	CONNECTICUT	LICENSE
2	103181200	MEDICAID	FLORIDA

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

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