Individual
A KATHLEEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 1454572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0616
BCBS
—
Enumeration date
11/03/2005
Last updated
04/09/2008
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