Kettely Devariste, - Registered Nurse in Cape Coral, FL

Kettely Devariste, is a Registered Nurse - Neonatal Intensive Care based in Cape Coral, Florida. Kettely Devariste is licensed to practice in Florida (license number RN9181978) and her current practice location is 3622 Ne 13th Ave, Cape Coral, Florida. She can be reached at her office (for appointments etc.) via phone at (239) 292-2233.

NPI number for Kettely Devariste is 1114969524 and her current mailing address is 13421 Bristol Park Way, Fort Myers, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114969524.

Contact Information

Kettely Devariste,
3622 Ne 13th Ave,
Cape Coral, FL 33909-6415
(239) 292-2233
Not Available

Map and Direction




Provider's Profile

Full NameKettely Devariste
GenderFemale
SpecialityRegistered Nurse - Neonatal Intensive Care
Location3622 Ne 13th Ave, Cape Coral, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114969524
  • Provider Enumeration Date: 06/11/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kettely Devariste such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114969524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WN0002XRegistered Nurse - Neonatal Intensive Care RN9181978 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kettely Devariste is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kettely Devariste,
13421 Bristol Park Way,
Fort Myers, FL 33913-7835

Ph: (239) 225-7905
Kettely Devariste,
3622 Ne 13th Ave,
Cape Coral, FL 33909-6415

Ph: (239) 292-2233

Reviews and Comments


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