Individual
SUSAN WIGGLESWORTH STAUDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 W CENTRAL AVE, WINTER HAVEN, FL 33880-6313
(863) 299-6562
Mailing address
4422 MAHOGANY RUN, WINTER HAVEN, FL 33884-2983
(863) 326-1884
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
ARNP1279382
FL
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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