Amanda Dittmer, APRN | |
3191 Harbor Blvd Ste B, Port Charlotte, FL 33952-6755 | |
(941) 883-4518 | |
Not Available |
Full Name | Amanda Dittmer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3191 Harbor Blvd Ste B, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134572274 | NPI | - | NPPES |
100028500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN9268426 (Florida) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | APRN9268426 (Florida) | Secondary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
---|---|
Amanda Dittmer, APRN 6360 Techster Blvd Ste 1, Fort Myers, FL 33966-4805 Ph: (239) 236-8784 | Amanda Dittmer, APRN 3191 Harbor Blvd Ste B, Port Charlotte, FL 33952-6755 Ph: (941) 883-4518 |
Maria Lourdes Laquian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 | |
Maureen Ann Wertz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 855-674-7700 Fax: 941-764-8455 | |
Bobbi Hawver, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18480 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-743-4700 | |
Roxana Maria Rodriguez Rey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 877-856-3774 | |
Carla K Garcia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 | |
Rita Felicia De Palma, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Ms. Carin Melanie Calabrese, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1356 |