Individual
MRS. IZABELLA WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(305) 902-6347
Mailing address
4100 S HOSPITAL DR STE 102, PLANTATION, FL 33317-2831
(914) 602-6209
(954) 530-8945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9258093
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11004907
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11004907
FL
Other
Enumeration date
04/22/2014
Last updated
12/02/2020
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