Individual
AMANDA NICHOLE WOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4751 S CLEVELAND AVE, FORT MYERS, FL 33907
(239) 343-9888
(239) 343-9868
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9888
(239) 343-9868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3072212
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP3072212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013226500
—
FL
Enumeration date
09/10/2014
Last updated
06/18/2020
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