Individual
BRITTANE SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(239) 590-7505
Mailing address
9885 STELLA PALM WAY UNIT 403, FORT MYERS, FL 33966-6608
(561) 866-4335
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9533369
FL
367500000X
Certified Registered Nurse Anesthetist
0024187447
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2022
Last updated
12/28/2023
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