Deetta L Debault is a Fort Myers, Florida based nurse practitioner with 11 years of experience in Gerontology. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Deetta L Debault is ARNP9277422 for Gerontology in Florida. Her current practice location is 2232 Grand Ave, Fort Myers. Patients can reach her at 239-344-2330 or can fax her at 239-332-4701. Deetta L Debault is ARNP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1477960888. Deetta L Debault is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients. Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Deetta L Debault speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4981826138
Enrollment ID:
I20141104001176
NPI Number:
1477960888
NPI Enumeration Date:
17 Jul, 2014
NPI Last Update On:
20 Dec, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deetta L Debault are as mentioned below.
License Number
Specialization
State
Status
ARNP9277422
Gerontology
Florida
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100244)
Cape coral, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Deetta L Debault is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Millennium Physician Group Llc (9830244433)
770
Other Medical Identifiers:
Other legacy medical identifiers associated with Deetta L Debault such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
012471200
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Deetta L Debault 2675 Winkler Ave, Fl 2 Fort Myers, Florida
Zip:
33901-9342
Phone Number:
239-278-3600
Fax Number:
239-278-3857
Patients can reach Deetta L Debault at 2232 Grand Ave, Fort Myers, Florida or can call to book an appointment on 239-344-2330.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.