IndividualActive
Judith Petrin, APRN
NPI 1437146339 · Gerontology Clinical Nurse Specialist · Fort Myers, FL
Provider details
- NPI number
- 1437146339
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- APRN1196972 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12600 Creekside Ln
Suite 7
Fort Myers, FL 33919-3353
Phone: (239) 343-9220
Fax: (239) 343-9231
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2147
Fort Myers, FL 33902-2147
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.