Individual
GRETCHEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12700 CREEKSIDE LN, SUITE 101, FORT MYERS, FL 33919-3356
(239) 432-0774
(239) 432-0229
Mailing address
12700 CREEKSIDE LN, SUITE 101, FORT MYERS, FL 33919-3356
(239) 432-0774
(239) 432-0229
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
ARNP1898852
FL
363L00000X
Nurse Practitioner
Primary
ARNP1898852
FL
Other
Enumeration date
11/03/2006
Last updated
03/06/2012
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