Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9239329 | FL |
NPI | 1003052127 |
---|---|
Provider Name | Ms. Wanda Krakowski Hoerning |
First Address | Sarasota, FL 34238-4780 |
Second Address | Sarasota, FL 34238-4780 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2008 |
Last Update Date | 18/12/2008 |