person
Mrs. Susan Jane Nolan, PA-C
Medical Physician Assistant in Port Charlotte, Florida
NPI 1104121243

Susan Jane Nolan is a Medical Physician Assistant based in Fort Myers, FL and is specialized in Medical. Susan Jane Nolan practices in Port Charlotte, FL and has the professional credentials of PA-C. The NPI Number for Susan Jane Nolan is 1104121243 and holds a License No. PA9105671 (Florida).

The current practice location address for Susan Jane Nolan is 22655 Bayshore Rd Ste 110, Port Charlotte, FL and can be reached out via phone at 941-235-4900 and via fax at 941-235-4901.

Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL, 33902-2147
person
Provider Profile Details
NPI Number
1104121243
Provider Name
Susan Jane Nolan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
22655 Bayshore Rd Ste 110, Port Charlotte, FL, 33902-2147
Phone Number
941-235-4900
Fax Number
941-235-4901
Provider Enumeration Date
01/21/2011
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004409300 05 FL
institution
Provider Business Practice Location Address Details
Address
22655 Bayshore Rd Ste 110
City
State
Zip
33980-2005
Phone Number
941-235-4900
Fax Number
941-235-4901
person
Provider Business Mailing Address Details
Address
22655 Bayshore Rd Ste 110
City
State
Zip
33980-2005
Phone Number
941-235-4900
Fax Number
941-235-4901
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105671 (Florida)
Definition
Definition to come...
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