Provider Demographics
NPI:1831925551
Name:HELLER-SPENCER, KALI (FNP-C)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:HELLER-SPENCER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 BLOSSOM WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-5684
Mailing Address - Country:US
Mailing Address - Phone:239-682-5335
Mailing Address - Fax:
Practice Address - Street 1:11181 HEALTH PARK BLVD STE 2220
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-5734
Practice Address - Country:US
Practice Address - Phone:239-624-6780
Practice Address - Fax:239-624-6781
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07240881363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily