Provider Demographics
NPI:1649378282
Name:BIASI, DEBRA ANN (ARNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:BIASI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11181 HEALTH PARK BLVD
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-5738
Mailing Address - Country:US
Mailing Address - Phone:239-566-1888
Mailing Address - Fax:239-263-2907
Practice Address - Street 1:11181 HEALTH PARK BLVD
Practice Address - Street 2:SUITE 3000
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-5738
Practice Address - Country:US
Practice Address - Phone:239-566-1888
Practice Address - Fax:239-263-2907
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9210927363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY055OtherBCBS PROVIDER #
FLQ14384Medicare UPIN
FLY055OtherBCBS PROVIDER #