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Individual

DR. JUDITH WAFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, WHNP-BC

Contact information

Practice address
17113 MIRAMAR PKWY # 4, MIRAMAR, FL 33027-4565
(786) 371-6092
Mailing address
17113 MIRAMAR PKWY # 4, MIRAMAR, FL 33027-4565
(786) 371-6092

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9236294
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9236294
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015963900
FL
05
3132707
NH
Enumeration date
03/27/2015
Last updated
08/01/2024
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