=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346947421
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WENDY CLOW ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2023
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8245 COUNTY ROAD 44 LEG A STE 1
-----------------------------------------------------
City | LEESBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34788-3751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-204-8904
-----------------------------------------------------
Fax | 949-703-7406
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21740 WIYGUL RD
-----------------------------------------------------
City | UMATILLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32784-8395
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-537-9284
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | APRN11024421
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN11024421
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | APRN11024421
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------