| Auvan Clinic-health And Wellness Group Llc | |
|
4270 Tamiami Trl E Ste 201 Naples FL 34112-6887 | |
| (239) 799-7219 | |
| (239) 799-7209 |
| Full Name | Auvan Clinic-health And Wellness Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4270 Tamiami Trl E Ste 201, Naples, Florida |
| Authorized Official Name and Position | Aubrey Washington Fulton (APRN) |
| Authorized Official Contact | 6787331998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auvan Clinic-health And Wellness Group Llc 4270 Tamiami Trl E Ste 201 Naples FL 34112-6887 Ph: (239) 799-7219 | Auvan Clinic-health And Wellness Group Llc 4270 Tamiami Trl E Ste 201 Naples FL 34112-6887 Ph: (239) 799-7219 |
| NPI Number | 1376125880 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 09/29/2021 |
| Medicare PECOS PAC ID | 6305243866 |
|---|---|
| Medicare Enrollment ID | O20220602001945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376125880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Aubrey Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144695842 PECOS PAC ID: 8325340813 Enrollment ID: I20151229002485 |
| Provider Name | Vanessa Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761368 PECOS PAC ID: 3577808013 Enrollment ID: I20190102002261 |
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