Doctor Name: | MS. SUELLEN CIRELLI |
NPI Number: | 1225008477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2075932 |
Business Practice Address: | 1064 N. Broadway Ave Bartow, FL - 33830 |
Business Phone Number: | 8635199797 |
Business Fax Number: | 8635338723 |
Mailing Address: | 1064 N. Broadway Ave, BARTOW |
State: | FL |
Postal Code: | 33830 |
Phone Number: | 8635199797 |
Fax Number: | 8635338723 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2075932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |