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Individual

WENDY ELICIA REDMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7922
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
ARNP9287684
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012131600
FL
Enumeration date
06/09/2014
Last updated
11/06/2024
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