Individual
MRS. GERALDINE DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
2180 IMMOKALEE RD, SUITE 216, NAPLES, FL 34110-1421
(239) 287-1493
(239) 244-9357
Mailing address
2180 IMMOKALEE RD, SUITE 216, NAPLES, FL 34110-1421
(239) 287-1493
(239) 244-9357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN3344802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302889500
—
FL
01
—
P00066423
RAIL ROAD MEDICARE
FL
Enumeration date
05/09/2006
Last updated
10/21/2014
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