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COLLEEN ELIZABETH SCUDDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2776 CLEVELAND AVE, FT MYERS, FL 33901-5864
(239) 334-5283
Mailing address
P.O. BOX 2147, FT MYERS, FL 33902-2147
(239) 424-1400
(234) 424-1421

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
ARNP 9242980
FL
363L00000X
Nurse Practitioner
Primary
ARNP9242980
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308112500
FL
Enumeration date
05/04/2006
Last updated
04/15/2009
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