Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN9487664 | FL |
NPI | 1033199567 |
---|---|
Provider Name | Ms. Susan Cring Rankin |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33905-7813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100795700 | (05) | FL |
2351904 | (05) | OH |
P66374 | (02) |