JUDITH PETRIN APRN NPI 1437146339

NPI Information

NPI: 1437146339
Provider Name: JUDITH PETRIN, APRN
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
12600 CREEKSIDE LN
SUITE 7
FORT MYERS, FL
ZIP 33919
Phone: (239) 343-9220
Get Directions

Judith Petrin, APRN is a gerontology clinical nurse specialist in Fort Myers, FL. Judith Petrin, APRN NPI is 1437146339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12600 CREEKSIDE LN
SUITE 7
FORT MYERS, FL
ZIP 33919-353
Phone: (239) 343-9220
Fax: (239) 343-9231

The enumeration date for this NPI number is 10/5/2005 and was last updated on 10/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SG0600X	Clinical Nurse Specialist	Gerontology	APRN1196972	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	302429600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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