MEDICARE: ANNE K WHARTON ARNP

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
1	363LF0000X	Family Nurse Practitioner	9215774	FL

General Provider Information

NPI Number	:	1083099592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE K WHARTON ARNP

Provider Business Mailing Address
First Line	:	PO BOX 291282
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33329-1282
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1256 LINDSAY AVE
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-2903
Country	:	US
Telephone Number	:	941-201-8659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2015
Last Update Date	:	07/07/2020

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