Healthcare Provider Details

I. General information

NPI: 1487647749
Provider Name (Legal Business Name): PATRICIA ANDERSON-WEXLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810-C BRECKENRIDGE PKWY
TAMPA FL
33610
US

IV. Provider business mailing address

1232 CRIMSON CLOVER LN
WESLEY CHAPEL FL
33543-6573
US

V. Phone/Fax

Practice location:
  • Phone: 813-621-0159
  • Fax: 253-323-8494
Mailing address:
  • Phone: 813-340-2649
  • Fax: 253-323-8494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number477449
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN 9174208
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: