Individual
CHASE B COHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-6341
(239) 343-6342
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6341
(239) 343-6342
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP019818
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1030994
FL
363LA2200X
Adult Health Nurse Practitioner
SP019818
PA
363LG0600X
Gerontology Nurse Practitioner
SP019818
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124609300
—
FL
Enumeration date
09/05/2018
Last updated
02/07/2025
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