MEDICARE: WENDY E SWAYNE APN

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	363L00000X	Nurse Practitioner	RN236082	GA

General Provider Information

NPI Number	:	1730580010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY E SWAYNE APN

Provider Business Mailing Address
First Line	:	4700 MILLENIA BLVD STE 650
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6013
Country	:	US
Telephone Number	:	407-533-6837
Fax Number	:	407-770-0661

Provider Business Practice Location Address
First Line	:	6085 OLD NATIONAL HWY STE G
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4333
Country	:	US
Telephone Number	:	470-754-6360
Fax Number	:	877-780-7359

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

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	04/17/2026

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