NPI Profile for KRYSTAL K CASANOVA ENCARNACION in FORT MYERS, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics, Critical Care |
363LP0222X | 50 | Nurse Practitioner |
| NPI # | 1568022523 |
|
| Status | Active | |
| Credentials | APRN. | |
| Entity | Individual | |
| Enumeration date | 06/20/2019 | |
| Last updated | 02/11/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KRYSTAL K CASANOVA ENCARNACION
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