Healthcare Provider Details
I. General information
NPI: 1104257435
Provider Name (Legal Business Name): WENDY ANN MCFARLANE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/12/2013
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 GOODLETTE RD N
NAPLES FL
34102-5451
US
IV. Provider business mailing address
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS FL
33916
US
V. Phone/Fax
- Phone: 239-434-0656
- Fax:
- Phone: 239-274-8200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | ARNP9420430 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | ARNP9420430 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LC0200X |
| Taxonomy | Critical Care Medicine Nurse Practitioner |
| License Number | ARNP9420430 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: