Individual
MS. SUSAN L. MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
15051 SHELL POINT BLVD, FORT MYERS, FL 33908
(239) 466-1111
Mailing address
15000 SHELL POINT BLVD STE 100, FORT MYERS, FL 33908-1657
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9256516
FL
Other
Enumeration date
09/06/2007
Last updated
01/28/2020
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