IndividualActive
Mark Thetford
NPI 1104335660 · Certified Registered Nurse Anesthetist · Fort Myers, FL
Provider details
- NPI number
- 1104335660
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN9397749 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone: (239) 343-1000
Approximate (ZIP-level) locationGet directions
Mailing address
11131 Everblades Pkwy
Estero, FL 33928-9546
Additional practice locations (1)
- 13681 Doctors WayFort Myers, FL 33912-4300Phone: (239) 343-1000
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.