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Contact Information

JUDITH PETRIN, APRN
12600 CREEKSIDE LN
SUITE 7
FORT MYERS, FL33919-3353
 Phone: 239-343-9220
 Fax: 239-343-9231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JUDITH PETRIN · (Female)

NPI Number 1437146339
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 10/05/2005
Last updated 10/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN1196972
  • FL Medicaid 302429600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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