Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN11009437 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | APRN11009437 | FL |
NPI | 1023615440 |
---|---|
Provider Name | Bridget Mary Rossi |
First Address | Fort Myers, FL 33907-1412 |
Second Address | Jacksonville, FL 32204-1128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 06/04/2021 |