Provider Demographics
NPI:1497154785
Name:FEOLA, CHRISTINA MARIE CONCETTA (ARNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE CONCETTA
Last Name:FEOLA
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:8971 DANIELS CENTER DR
Mailing Address - Street 2:UNIT 307
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-0310
Mailing Address - Country:US
Mailing Address - Phone:239-210-4247
Mailing Address - Fax:239-210-4248
Practice Address - Street 1:8971 DANIELS CENTER DR
Practice Address - Street 2:UNIT 307
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-0310
Practice Address - Country:US
Practice Address - Phone:239-210-4247
Practice Address - Fax:239-210-4248
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2016-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9308403363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner