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NPI Code Detail

MEDICARE: XIAOYIN WANG REAM PMHNP-BC, FNP-C

MEDICARE: XIAOYIN WANG REAM PMHNP-BC, FNP-C
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 PractitionerARNP9325486FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9325486FL

General Provider Information

NPI Number : 1659745537
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIAOYIN WANG REAM PMHNP-BC, FNP-C
Provider Business Mailing Address
First Line : 9476 PETITION WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3505 LAKE LYNDA DR STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8333
Country : US
Telephone Number : 407-989-6902
Fax Number : 321-635-0007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2015
Last Update Date : 04/07/2025

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