Individual
WANDA VINING NIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2310 60TH STREET CT W, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905
Mailing address
2310 60TH STREET CT W, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN103666
GA
Other
Enumeration date
10/13/2006
Last updated
12/06/2017
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