Michelle Vallejo, ARNP | |
14651 Palm Beach Blvd, Ste. 100, Fort Myers, FL 33905 | |
(238) 369-2903 | |
(239) 369-0500 |
Full Name | Michelle Vallejo |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14651 Palm Beach Blvd, Ste. 100, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356778427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9335152 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11034570 (Florida) | Primary |
Entity Name | Wallace Family Practice Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063548410 PECOS PAC ID: 4385747831 Enrollment ID: O20070321000403 |
Mailing Address | Practice Location Address |
---|---|
Michelle Vallejo, ARNP 14651 Palm Beach Blvd, Ste. 100, Fort Myers, FL 33905 Ph: (238) 369-2903 | Michelle Vallejo, ARNP 14651 Palm Beach Blvd, Ste. 100, Fort Myers, FL 33905 Ph: (238) 369-2903 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5030 Mason Corbin Ct, Fort Myers, FL 33907 Phone: 239-278-0330 Fax: 239-278-1345 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249 |