Individual
MRS. STACEY LYNN KOLLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1970 GOLF ST, SARASOTA, FL 34236-6908
(941) 957-1000
(941) 951-2117
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9262772
FL
363L00000X
Nurse Practitioner
ARNP9262772
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP 9262772
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9262772
FL
Other
Enumeration date
06/13/2013
Last updated
07/11/2024
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