Individual
CHERYL NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 MEDICAL LN, FORT MYERS, FL 33907-1116
(239) 277-9818
Mailing address
1650 MEDICAL LN, FORT MYERS, FL 33907-1116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88485300
—
FL
01
—
Y902L
FL BCBS PROVIDER NUMBER
FL
Enumeration date
03/13/2007
Last updated
07/09/2007
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