Individual
MRS. RACHEL RODRIGO WIIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
260 BETH STACEY BLVD STE C, LEHIGH ACRES, FL 33936-6074
(239) 343-9888
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9888
(239) 303-0714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
APRN11012859
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11012859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115415100
—
FL
Enumeration date
08/04/2022
Last updated
12/08/2022
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