Petrin, Judith

Petrin, Judith is an individual health care provider with primary practice located at 12600 Creekside Ln Suite 7, Fort Myers FL 33919-3353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Petrin, Judith can be contacted via phone (239) 343-9220.

Contact Information

Primary practice address
12600 Creekside Ln Suite 7 Fort Myers FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-9231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X APRN1196972 Florida

Profile Details

NPI number 1437146339
LBN Legal business name Petrin, Judith
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437146339 NPPES
Florida MEDICAID 302429600

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