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NPI Code Detail

MEDICARE: DR. WANDA MORANCY DNP, APRN, FNP-BC

MEDICARE:  DR. WANDA  MORANCY  DNP, APRN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner9280008FL

Other Identifiers

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

General Provider Information

NPI Number : 1578088092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WANDA MORANCY DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : 7000 NW 92ND TER
Second Line :
City : TAMARAC
State : FL
Zip : 33321-3145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7000 NW 92ND TER
Second Line :
City : TAMARAC
State : FL
Zip : 33321-3145
Country : US
Telephone Number : 954-701-7359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2017
Last Update Date : 05/20/2026

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