Individual provider · Type 1 NPI

Susan Jane Nolan, PA-C

Medical Physician Assistant · Port Charlotte, FL

NPI number 1104121243 Active

Practice location

22655 Bayshore Rd Ste 110
Port Charlotte, FL 33980-2005

Call (941) 235-4900 Map

Fax (941) 235-4901

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Other practice locations

  • 9400 Gladiolus Drive, Suite 250, Fort Myers, FL 33908-7600 · (239) 689-5100
  • 16410 Healthpark Commons Dr, Fort Myers, FL 33908 · (239) 343-6202

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105671 (FL)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1104121243

Susan Jane Nolan, PA-C's National Provider Identifier is 1104121243, issued on Jan 21, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 27, 2024.