MANDY RENAE DEYOUNG (NPI# 1295211274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295211274 |
| Entity Type | Individual |
| Full Name | MANDY RENAE DEYOUNG |
| Credential | APRN |
| Practice Address |
15901 Bass Rd Ste 100 Fort Myers FL 33908 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436100 |
| Practice Fax Number | 2393439925 |
| Mailing Telephone | 2393436100 |
| Mailing Fax Number | 2393439925 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APRN9308253 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100274400 | 05 |
| Street Address |
15901 BASS RD STE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114000775 | Eric B Feinberg | Obstetrics & Gynecology | 15901 Bass Rd Ste 100, Fort Myers, FL 33908-3838 | 2006-10-24 |
| 1609354315 | Jessica Lorraine Taylor | Advanced Practice Midwife | 15901 Bass Rd Ste 100, Fort Myers, FL 33908-3838 | 2018-08-03 |
| 1528322708 | Erin Hare Ward | Obstetrics & Gynecology | 15901 Bass Rd Ste 100, Fort Myers, FL 33908-3838 | 2012-07-02 |
| 1376856724 | Eeka Wendella Marshall | Obstetrics & Gynecology | 15901 Bass Rd Ste 100, Fort Myers, FL 33908-3838 | 2010-07-14 |
| 1912102104 | Melanie Dawn Altizer | Obstetrics & Gynecology | 15901 Bass Rd Ste 100, Fort Myers, FL 33908 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704858 | Traci Ann Corby | Nurse Practitioner | 12611 World Plaza Ln Bldg 53, Fort Myers, FL 33907-3990 | 2006-11-09 |
| 1184607939 | Meegan D. Page | Nurse Practitioner | 14548 Calusa Palms Dr, Fort Myers, FL 33919-7769 | 2005-11-25 |
| 1558368753 | Christie D. Shore | Nurse Practitioner | 10501 Fgcu Blvd S, Student Health Center/fgcu, Fort Myers, FL 33965-6502 | 2005-07-01 |
| 1568969954 | Rachel Ann Cox Cangiano | Nurse Practitioner | 8931 Colonial Center Dr Ste 400, Fort Myers, FL 33905-7809 | 2018-04-11 |
| 1144597881 | Specialists In Reproductive Medicine & Surgery, P.a. | Nurse Practitioner | 12611 World Plaza Ln, Building 53, Fort Myers, FL 33907-3990 | 2011-11-23 |
| 1003999160 | Katherine E Wirth | Nurse Practitioner | 3920 Michigan Ave, Fort Myers, FL 33916-2205 | 2006-10-23 |
| 1811009020 | Jean G Mekas | Nurse Practitioner | 3920 Michigan Ave, Fort Myers, FL 33916-2205 | 2006-09-01 |
| 1790772713 | Kimberly Town | Nurse Practitioner | 15901 Bass Rd, Suite 100, Fort Myers, FL 33908 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
| 1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
| 1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
| 1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
| 1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
| 1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
| 1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
| 1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
| 1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
| 1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MANDY RENAE DEYOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.