Individual
ALEXANDRA VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 WAREHOUSE RD APT 110105, ORLANDO, FL 32803-3563
(561) 889-8039
Mailing address
911 WAREHOUSE RD APT 110105, ORLANDO, FL 32803-3563
(561) 889-8039
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11029640
FL
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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