Provider Demographics
NPI:1053422550
Name:VOTTA, AMY (APRN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:VOTTA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 WILLOW PARK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-9014
Mailing Address - Country:US
Mailing Address - Phone:239-262-3100
Mailing Address - Fax:239-262-3101
Practice Address - Street 1:6610 WILLOW PARK DR STE 102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-9014
Practice Address - Country:US
Practice Address - Phone:239-262-3100
Practice Address - Fax:239-262-3101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9165087363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner