Most Relevant Information
Provider Data
| NPI Number: | 1003298977 |
| Provider Name: | KELLY ALISA ZIPKO CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | ARNP9298353 |
Most Important Dates
| Enumeration Date: | 06/26/2015 |
| Last Updated: | 11/15/2022 |
Provider Practice Location
4101 EVANS AVE
FORT MYERS
FL
339019310
Practice Location Phone/Fax
| Phone: | 2399393456 |
| Fax: | 2397902432 |
Provider Mailing Location
17197 JOHNSTON DR
FORT MYERS
FL
339672528
Provider Mailing Phone/Fax
| Phone: | 4122604576 |
| Fax: |