SALLY J COLLODI-SWART AARN
NPI 1396851622
Nurse Practitioner - Family in Port St Lucie Blvd, FL
Active since August 21, 2006
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE BLVD, FL 34951(772) 398-4780(772) 398-1550 Get Directions Write a Review
About Sally J Collodi-swart Aarn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY J COLLODI-SWART AARN (NPI 1396851622) is an individual family provider in Port St Lucie Blvd, Florida, licensed in Florida (RN833182) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1396851622
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALLY J COLLODI-SWARTCredential: AARN
Location Address1900 SE PORT ST LUCIE BLVDPort St Lucie Blvd, FL 34951
Mailing Address1900 Se Port St Lucie Blvd, Physicians Immediate Care IncPort St Lucie, FL 34952 · (772) 398-4780 · Fax (772) 398-1550
Phone(772) 398-4780
Fax(772) 398-1550
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateFebruary 18, 2016
✔ NPI 1396851622 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · RN833182
1900 SE PORT ST LUCIE BLVD, Port St Lucie Blvd, FL 34951
Other Names 1
Former Name (1)Sally J Collodi A.r.n.p
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396851622, enumerated as an "individual" on August 21, 2006.
The provider is located at 1900 SE PORT ST LUCIE BLVD PORT ST LUCIE BLVD, FL 34951 and the phone number is (772) 398-4780.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
