Individual
JUDITH PETRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12600 CREEKSIDE LN, SUITE 7, FORT MYERS, FL 33919-3353
(239) 343-9220
(239) 343-9231
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9220
(239) 343-9231
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APRN1196972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302429600
—
FL
Enumeration date
10/05/2005
Last updated
10/07/2020
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