Individual
KATHLEEN A CORLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4048 EVANS AVE, STE 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Mailing address
4048 EVANS AVE, STE 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9227416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3380600
—
FL
01
—
G00CL
BCBS
FL
Enumeration date
05/24/2010
Last updated
01/30/2013
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