Organization · Type 2 NPI
Wandering Michelle LLC
Family Nurse Practitioner · Fruitland Park, FL
NPI number
1114528874
Active
Practice location
4208 Idlewild Dr
Fruitland Park, FL 34731-5638
Fax (352) 716-7611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Fruitland Park
About NPI 1114528874
Wandering Michelle LLC's National Provider Identifier is 1114528874, issued on Nov 7, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fruitland Park, FL. The record was last updated on Oct 19, 2026.