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Individual

MISS AUDREY WONG

Active
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Individual

MISS AUDREY WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9370184
FL
363LA2100X
Acute Care Nurse Practitioner
69996
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11003307
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11003307
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104668600
FL
01
PX189
HF MA
FL
Enumeration date
07/23/2019
Last updated
01/04/2024
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