Individual
YAWEN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11028373
FL
363LA2200X
Adult Health Nurse Practitioner
11028373
FL
Other
Enumeration date
01/16/2024
Last updated
03/15/2024
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