Individual
JUDITH COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8595 COLLEGE PKWY, B4, FORT MYERS, FL 33919-5191
(239) 481-9999
(239) 481-9346
Mailing address
8595 COLLEGE PKWY, B4, FORT MYERS, FL 33919-5191
(239) 481-9999
(239) 481-9346
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
2040832
FL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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