Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 11011264 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F347979-01 | NY |
NPI | 1003160508 |
---|---|
Provider Name | Stephanie Ann Coglitore |
First Address | Naples, FL 34117-4309 |
Second Address | Naples, FL 34117-4309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2012 |
Last Update Date | 19/08/2021 |