Individual
WANDA LAVERNE MCGOWAN-BRAYNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
(305) 999-9941
Mailing address
20315 NW 3RD CT, MIAMI GARDENS, FL 33169-2526
(305) 651-2386
(305) 999-9941
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1750042
FL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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