Casanova Encarnacion, Krystal K
Casanova Encarnacion, Krystal K is an individual health care provider with primary practice located at 16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Casanova Encarnacion, Krystal K can be contacted via phone (239) 343-7474.Contact Information
Primary practice address
16230 Summerlin Rd Ste 215
Fort Myers FL 33908-5769
Phone: (239) 343-7474
Fax: (239) 343-4190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | APRN11002846 | Florida |
Profile Details
| NPI number | 1568022523 |
|---|---|
| LBN Legal business name | Casanova Encarnacion, Krystal K |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2019 |
| Last updated | Feb 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568022523 | NPPES |
| Florida | MEDICAID | 103687500 |
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