Individual
MS. DEBRA NIETO WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6717
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6717
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1857202
FL
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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