Healthcare Provider Details

I. General information

NPI: 1245760453
Provider Name (Legal Business Name): WENDY ANN FIUMANO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WENDY ANN SELLATI

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 MURRELL RD
MELBOURNE FL
32940-7999
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-434-6650
  • Fax: 321-434-5864
Mailing address:
  • Phone: 321-434-6650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9491957
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: