IndividualActive
Lory Taraborelli
NPI 1457986879 · Critical Care Medicine Clinical Nurse Specialist · Fort Myers, FL
Provider details
- NPI number
- 1457986879
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11005220 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2675 Winkler Ave
Fort Myers, FL 33901-9342
Phone: (855) 979-5700
Approximate (ZIP-level) locationGet directions
Mailing address
2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.