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NPI Code Detail

MEDICARE: LUNIE ELISABETH WENSEN APRN

MEDICARE: LUNIE ELISABETH WENSEN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11034250FL

General Provider Information

NPI Number : 1134958556
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUNIE ELISABETH WENSEN APRN
Provider Business Mailing Address
First Line : 224 SANTA BARBARA BLVD STE 102
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2038
Country : US
Telephone Number : 239-424-1900
Fax Number : 239-424-1908
Provider Business Practice Location Address
First Line : 224 SANTA BARBARA BLVD STE 102
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2038
Country : US
Telephone Number : 239-424-1900
Fax Number : 239-424-1908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2024
Last Update Date : 05/27/2026

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