Provider Demographics
NPI:1356621338
Name:CARE PRACTITIONERS LLC
Entity type:Organization
Organization Name:CARE PRACTITIONERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBROAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:239-823-3854
Mailing Address - Street 1:9174 RIVER OTTER DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-8920
Mailing Address - Country:US
Mailing Address - Phone:239-823-3854
Mailing Address - Fax:941-206-6418
Practice Address - Street 1:9174 RIVER OTTER DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-8920
Practice Address - Country:US
Practice Address - Phone:239-823-3854
Practice Address - Fax:941-206-6418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9252915363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty