Individual provider · NPI-1

Monette Audath

Nurse Practitioner, Family · Port Charlotte, FL

NPI number1255787370
StatusActive
Last updated in NPPESNov 22, 2019

Details

NPI
1255787370
Entity type
Individual (NPI-1)
Name
Monette Audath
Sex
Female
Sole proprietor
No
Enumeration date
May 7, 2016
Last updated
Nov 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyARNP 9214849FLYes

Practice location

21297 Olean Blvd Ste A
Port Charlotte, FL 33952-6704

Phone 855-979-5700 · Fax 239-931-3458

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Phone 877-856-3774

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Port Charlotte, FL