Individual
INGRID DRAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 SW 12TH AVE STE 102, POMPANO BEACH, FL 33069-3593
(954) 339-6863
Mailing address
555 SW 12TH AVE STE 102, POMPANO BEACH, FL 33069-3593
(954) 339-6863
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN9190054
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11020201
FL
Other
Enumeration date
05/24/2022
Last updated
10/30/2024
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