Scudder, Colleen Elizabeth

Scudder, Colleen Elizabeth is an individual health care provider with primary practice located at 2776 Cleveland Ave , Ft Myers FL 33901-5864. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Scudder, Colleen Elizabeth can be contacted via phone (239) 334-5283.

Contact Information

Primary practice address
2776 Cleveland Ave Ft Myers FL 33901-5864
Phone: (239) 334-5283
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X ARNP 9242980 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9242980 Florida

Profile Details

NPI number 1962450932
LBN Legal business name Scudder, Colleen Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 15th, 2009 - about 17 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 1962450932 NPPES
Florida MEDICAID 308112500

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