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JUDITH PETRIN APRN
NPI 1437146339
Clinical Nurse Specialist - Gerontology in Fort Myers, FL

Active since October 05, 2005
12600 CREEKSIDE LN, SUITE 7, FORT MYERS, FL 33919(239) 343-9220(239) 343-9231 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2020, Jan 29, 2020 (2 updates tracked since 2020).

About Judith Petrin Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH PETRIN APRN (NPI 1437146339) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (APRN1196972) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1437146339
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameJUDITH PETRINCredential: APRN
Location Address12600 CREEKSIDE LN, SUITE 7Fort Myers, FL 33919-3353
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9220 · Fax (239) 343-9231
Phone(239) 343-9220
Fax(239) 343-9231
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1437146339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in FL · APRN1196972
12600 CREEKSIDE LN, Fort Myers, FL 33919
Open in Google Maps ↗

Other Identifiers 1

Medicaid302429600FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUROLOGY ASSOCIATES OF LEE COUNTY
Specialist
12600 CREEKSIDE LN, SUITE 7
FORT MYERS, FL 33919
Lee County (239) 939-2412
CATHLEEN L ZERBE ARNP
Nurse Practitioner (Family)
12600 CREEKSIDE LN, SUITE 6
FORT MYERS, FL 33919
Lee County (239) 343-9219
CRISTINA MARIA LARRAZALETA FAJARDO M.D.
Internal Medicine (Geriatric Medicine)
12600 CREEKSIDE LN, SUITE 7
FORT MYERS, FL 33919
Lee County (239) 343-9220
LMR IMAGING
Radiology (Diagnostic Radiology)
12600 CREEKSIDE LN
FORT MYERS, FL 33919
Lee County (239) 437-8008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Petrin's NPI number?

The NPI number for Judith Petrin is 1437146339. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Judith Petrin located?

Judith Petrin practices at 12600 Creekside Ln Suite 7, Fort Myers, FL 33919. The listed phone number is (239) 343-9220.

What is Judith Petrin's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Judith Petrin was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.