Individual
WENDY ANGELINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8380 LAGOS DE CAMPO BLVD APT 208, TAMARAC, FL 33321-8503
(954) 501-7724
Mailing address
8380 LAGOS DE CAMPO BLVD APT 208, TAMARAC, FL 33321-8503
(954) 501-7724
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1001851
FL
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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