Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9420430 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | ARNP9420430 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9420430 | FL |
NPI | 1104257435 |
---|---|
Provider Name | Ms. Wendy Ann Mcfarlane |
First Address | Fort Myers, FL 33916 |
Second Address | Naples, FL 34102-5451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2013 |
Last Update Date | 17/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016129700 | (05) | FL |
EXTJD | BCBS (01) | FL |