MS. MARIYA BOZHENOK PA-C
NPI 1194077487
Nurse Practitioner - Primary Care in Fort Myers, FL

Active since October 10, 2012
4101 EVANS AVE, FORT MYERS, FL 33901(239) 939-3456(239) 790-2432 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mariya Bozhenok Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIYA BOZHENOK PA-C (NPI 1194077487) is an individual primary care provider in Fort Myers, Florida, licensed in Florida (PA9106816) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1194077487
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. MARIYA BOZHENOKCredential: PA-C
Location Address4101 EVANS AVEFort Myers, FL 33901
Mailing AddressPo Box 111600Naples, FL 34108-0127 · (239) 333-0630 · Fax (239) 333-0631
Fax(239) 790-2432
Sole ProprietorNo
Enumeration DateOctober 10, 2012
Last NPPES UpdateJune 1, 2016
NPI 1194077487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in FL · PA9106816
4101 EVANS AVE, Fort Myers, FL 33901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
4101 EVANS AVE
FORT MYERS, FL 33901
Ophthalmology
4101 EVANS AVE
FORT MYERS, FL 33901
Optometrist
4101 EVANS AVE
FORT MYERS, FL 33901
Ophthalmology
4101 EVANS AVE
FORT MYERS, FL 33901
Ophthalmology (Retina Specialist)
4101 EVANS AVE
FORT MYERS, FL 33901
Nurse Anesthetist, Certified Registered
4101 EVANS AVE
FORT MYERS, FL 33901
Nurse Anesthetist, Certified Registered
4101 EVANS AVE
FORT MYERS, FL 33901
Physician Assistant (Medical)
4101 EVANS AVE
FORT MYERS, FL 33901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariya Bozhenok's NPI number?

The NPI number for Mariya Bozhenok is 1194077487. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Mariya Bozhenok located?

Mariya Bozhenok practices at 4101 Evans Ave, Fort Myers, FL 33901. The listed phone number is (239) 939-3456.

What is Mariya Bozhenok's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mariya Bozhenok was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.