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Roger Rene Trudel
Family Nurse Practitioner in Port St Lucie, Florida
NPI 1528567583

Roger Rene Trudel is a Family Nurse Practitioner based in Port St Lucie, FL and is specialized in Family. Roger Rene Trudel practices in Port St Lucie, FL. The NPI Number for Roger Rene Trudel is 1528567583 and holds a License No. 9318225 (Florida).

The current practice location address for Roger Rene Trudel is 3686 Sw Carmody Street, Port St Lucie, FL and can be reached out via phone at 239-438-0602.

Location: 3686 Sw Carmody Street, Port St Lucie, FL, 34953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528567583
Provider Name
Roger Rene Trudel
Credential
Provider Entity Type
Individual
Gender
Male
Address
3686 Sw Carmody Street, Port St Lucie, FL, 34953
Phone Number
239-438-0602
Fax Number
Provider Enumeration Date
02/06/2018
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ARNP9318225 01 FL FL ARNP LICENSE
RN9318225 01 FL FL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
3686 Sw Carmody Street
City
Port St Lucie
State
Florida
Zip
34953
Phone Number
239-438-0602
Fax Number
person
Provider Business Mailing Address Details
Address
3686 Sw Carmody Street
City
Port St Lucie
State
Florida
Zip
34953
Phone Number
239-438-0602
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9318225 (Florida)
Definition
Definition to come...
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