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Ember Lee Charlotte Wackelin
Family Nurse Practitioner in Nokomis, Florida
NPI 1487435699

Ember Lee Charlotte Wackelin is a Family Nurse Practitioner based in Nokomis, FL and is specialized in Family. Ember Lee Charlotte Wackelin practices in Nokomis, FL. The NPI Number for Ember Lee Charlotte Wackelin is 1487435699 and holds a License No. APRN11029163 (Florida).

The current practice location address for Ember Lee Charlotte Wackelin is 612 Hamlin St, Nokomis, FL and can be reached out via phone at 941-549-9540.

Location: 612 Hamlin St, Nokomis, FL, 34275-5116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487435699
Provider Name
Ember Lee Charlotte Wackelin
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Hamlin St, Nokomis, FL, 34275-5116
Phone Number
941-549-9540
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
612 Hamlin St
City
Nokomis
State
Florida
Zip
34275-5116
Phone Number
941-549-9540
Fax Number
person
Provider Business Mailing Address Details
Address
612 Hamlin St
City
Nokomis
State
Florida
Zip
34275-5116
Phone Number
941-549-9540
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11029163 (Florida)
Definition
Definition to come...
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