Individual
ANDREA F WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6400 W NEWBERRY RD, SUITE 302, GAINESVILLE, FL 32605
(352) 331-8902
Mailing address
6400 W NEWBERRY RD, SUITE 308, GAINESVILLE, FL 32605
(352) 331-8902
(352) 332-7832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3304712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103760400
—
FL
01
—
U2239Y
MEDICARE PTAN
FL
Enumeration date
07/13/2006
Last updated
10/07/2020
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