Individual
SUSAN M SAMERDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13279 N CLEVELAND AVE, NORTH FORT MYERS, FL 33903-4818
(239) 652-4111
(239) 652-4105
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 652-4111
(239) 652-4105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN158152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001586500
—
FL
Enumeration date
07/21/2007
Last updated
03/30/2021
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