Individual
MICHELLE WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6855 PINE ST, MILTON, FL 32570-6794
(850) 450-8829
Mailing address
6855 PINE ST, MILTON, FL 32570-6794
(850) 450-8829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9300443
FL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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