Provider Demographics
NPI:1427472117
Name:WEIRZBICKI, DEIRDRE M (ARNP)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:M
Last Name:WEIRZBICKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEIRDRE
Other - Middle Name:M
Other - Last Name:CETRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:239-599-2612
Practice Address - Street 1:421 COMMERCIAL CT STE A
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1656
Practice Address - Country:US
Practice Address - Phone:941-499-0800
Practice Address - Fax:941-499-0801
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9223725363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1427472117OtherNPI