Individual
DENISE MARIE WANNEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
3001 W DR MLK BLVD, TAMPA, FL 33607-6307
(813) 350-7244
(813) 350-7246
Mailing address
604 DEL SOL CT, SAFETY HARBOR, FL 34695-4971
(727) 799-1923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9172628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303613800
—
FL
01
—
G2962
BCBS
FL
Enumeration date
12/05/2005
Last updated
01/30/2014
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