NPI 1104476985

Katelyn van de Water, CAA

Practitioner Anesthesiologist Assistant Fort Myers, FL

Practice location

Address: 2776 Cleveland Ave, Fort Myers, FL 33901-5864
Phone: (239) 343-2000
Mailing address: 14935 Hawksmoor Run Cir, Orlando, FL 32828-7511

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA544 (FL)

Other Anesthesiologist Assistant providers in Florida →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Registry record

NPI: 1104476985
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2019
Record last updated: 2 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.