Individual
MISS WENDY WAKEMAN ZEMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CST CRNFA
Contact information
Practice address
300 N CLYDE MORRIS BLVD, HALIFAX MEDICAL CENTER, DAYTONA BEACH, FL 32114-2732
(386) 254-4000
(386) 254-4319
Mailing address
115 CAMINO CIR, ORMOND BEACH, FL 32174-7450
(386) 672-9116
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1016432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y7470
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
11/16/2006
Last updated
07/08/2007
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