Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mariya Bozhenok, PA-C

Individual provider Primary Care Nurse Practitioner · NPI 1194077487

MS. Mariya Bozhenok, PA-C is a Primary Care Nurse Practitioner in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4101 Evans Ave
Fort Myers, FL 33901
Phone: (239) 939-3456
Fax: (239) 790-2432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence PA9106816 (FL)

Record details

NPI number1194077487
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2012
Last updated in NPPESJune 1, 2016

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