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NPI Code Detail

MEDICARE: MS. WANDA ALEXANDRA DANUZ A.R.N.P.

MEDICARE: MS. WANDA ALEXANDRA DANUZ A.R.N.P.
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
1363L00000XNurse PractitionerARNP2788122FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669460606
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WANDA ALEXANDRA DANUZ A.R.N.P.
Provider Business Mailing Address
First Line : 10131 FOREST HILL BLVD STE 230
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6109
Country : US
Telephone Number : 561-798-6600
Fax Number : 561-753-3328
Provider Business Practice Location Address
First Line : 10131 FOREST HILL BLVD STE 206
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6109
Country : US
Telephone Number : 561-798-6600
Fax Number : 561-753-3328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 04/26/2012

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