MEDICARE: DEBORAH ANN WAHLER NP

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	ARNP1348802	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275504987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN WAHLER NP

Provider Business Mailing Address
First Line	:	2415 N ORANGE AVE
Second Line	:	SUITE 700
City	:	ORLANDO
State	:	FL
Zip	:	32804-5505
Country	:	US
Telephone Number	:	407-303-2474
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 N ORANGE AVE
Second Line	:	SUITE 700
City	:	ORLANDO
State	:	FL
Zip	:	32804-5505
Country	:	US
Telephone Number	:	407-303-2474
Fax Number	:

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	06/04/2013

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Directions to “ DEBORAH ANN WAHLER NP” Practice Location

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