Mr. Wendy Phreud Edmond
Nurse Practitioner - Acute Care
1151 S Park Rd Apt 110
Hollywood
, Florida 33021-8793
Mr. Wendy Phreud Edmond
Nurse Practitioner - Acute Care
1151 S Park Rd Apt 110
Hollywood
, Florida 33021-8793
(786) 290-3485
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mr. Wendy Phreud Edmond
- 1151 S Park Rd Apt 110
- Hollywood, FL
- Zip : 33021-8793
- Phone : (786) 290-3485
Second Address
- Mr. Wendy Phreud Edmond
- 1151 S Park Rd Apt 110
- Hollywood, FL
- Zip : 33021-8793
- Phone : (786) 290-3485
Reviews
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Is Mr. Wendy Phreud Edmond a sole practitioner?
Is Mr. Wendy Phreud Edmond accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN9336037 | FL |
National Provider Identifier
| NPI | 1013458561 |
|---|---|
| Provider Name | Mr. Wendy Phreud Edmond |
| First Address | Hollywood, FL 33021-8793 |
| Second Address | Hollywood, FL 33021-8793 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2017 |
| Last Update Date | 21/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 023103400 | (05) | FL |
| OD206 | MEDICARE HF (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.