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Mr. Wendy Phreud Edmond, AC-AGNP
Gerontology Nurse Practitioner in Palmetto Bay, Florida
NPI 1013458561

Wendy Phreud Edmond is a Gerontology Nurse Practitioner based in Hollywood, FL and is specialized in Gerontology. Wendy Phreud Edmond practices in Palmetto Bay, FL and has the professional credentials of AC-AGNP. The NPI Number for Wendy Phreud Edmond is 1013458561 and holds a License No. 64577 (Florida).

The current practice location address for Wendy Phreud Edmond is 9299 Sw 152Nd St Ste 203, Palmetto Bay, FL and can be reached out via phone at 305-322-4166.

Location: 9299 Sw 152Nd St Ste 203, Palmetto Bay, FL, 33021-2058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013458561
Provider Name
Wendy Phreud Edmond
Credential
AC-AGNP
Provider Entity Type
Individual
Gender
Male
Address
9299 Sw 152Nd St Ste 203, Palmetto Bay, FL, 33021-2058
Phone Number
305-322-4166
Fax Number
Provider Enumeration Date
03/16/2017
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300076966 05 IN
023103400 05 FL
267030310 01 IN MEDICARE PTAN
OD206 01 FL MEDICARE HF
institution
Provider Business Practice Location Address Details
Address
9299 Sw 152Nd St Ste 203
City
Palmetto Bay
State
Florida
Zip
33157-1776
Phone Number
305-322-4166
Fax Number
person
Provider Business Mailing Address Details
Address
9299 Sw 152Nd St Ste 203
City
Palmetto Bay
State
Florida
Zip
33157-1776
Phone Number
305-322-4166
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
APRN9336037 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
64577 (New Mexico)
Definition
Definition to come...
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