Individual
WISLANDE KERCIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5421 QUEENSHIP CT, GREENACRES, FL 33463-5966
(561) 628-1002
Mailing address
5421 QUEENSHIP CT, GREENACRES, FL 33463-5966
(561) 628-1002
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
11012811
FL
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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