Individual
WENDY OUTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1700 BIRMINGHAM AVE, HOLLY HILL, FL 32117-1512
(386) 566-0769
Mailing address
PO BOX 1616, ORMOND BEACH, FL 32175-1616
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN1443372
FL
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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