Individual
BETTY WADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1951 GRAND ISLE DRIVE, BRANDON, FL 33511
(306) 547-4682
Mailing address
1951 GRAND ISLE DR, BRANDON, FL 33511-4787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9447627
FL
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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