THE FOREVER YOUNG LLC
NPI 1346171444
Nurse Practitioner - Adult Health in Estero, FL
Active since May 27, 2026
About The Forever Young Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE FOREVER YOUNG LLC (NPI 1346171444) is a healthcare organization registered as an adult health in Estero, Florida and active in the NPI registry since May 2026. The organization lists Lori K Axford, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
NPI1346171444
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameTHE FOREVER YOUNG LLC
Location Address19727 THE PLACE BLVDEstero, FL 33928
Mailing Address19727 The Place BlvdEstero, FL 33928 · (239) 220-8829
Phone(239) 220-8829
Organization SubpartNo
Authorized OfficialLori K AxfordNurse Practitioner · (425) 971-0990
Enumeration DateMay 27, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1346171444 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
19727 THE PLACE BLVD, Estero, FL 33928
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346171444, enumerated as an "organization" on May 27, 2026.
The provider is located at 19727 THE PLACE BLVD ESTERO, FL 33928 and the phone number is (239) 220-8829.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.