Provider Demographics
NPI:1851379820
Name:DIGBY, EMILIE VICTORIA (CRNA)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:VICTORIA
Last Name:DIGBY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6171 MID METRO DRIVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912
Mailing Address - Country:US
Mailing Address - Phone:239-278-9955
Mailing Address - Fax:239-278-9966
Practice Address - Street 1:7152 COCO SABAL LANE
Practice Address - Street 2:GULF COAST ENDOSCOPY CENTER SOUTH
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908
Practice Address - Country:US
Practice Address - Phone:239-985-0215
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP226102367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG1058Medicare ID - Type Unspecified