Individual
WENDY A WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 PALMETTO ST., NEW SMYRNA BEACH, FL 32168
(386) 424-6400
(386) 424-6422
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11038647
FL
Other
Enumeration date
10/10/2016
Last updated
09/24/2025
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