Individual
KATHRYN JEAN UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13774 PLANTATION RD STE 100, FORT MYERS, FL 33912-4461
(239) 236-7777
(239) 245-7028
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 590-2612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1280482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30223400
—
FL
Enumeration date
04/11/2007
Last updated
12/21/2021
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