Individual
MS. AMY DIANE WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3001 NW 49TH AVE, SUITE 100, LAUDERDALE LAKES, FL 33313-7266
(954) 731-1101
Mailing address
3001 NW 49TH AVE, SUITE 100, LAUDERDALE LAKES, FL 33313-7266
(954) 731-1101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2754072
FL
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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