Organization · Type 2 NPI

Denebola TR

Family Nurse Practitioner · Wilton Manors, FL

NPI number 1376371450 Active

Practice location

2225 NE 14th Ave
Wilton Manors, FL 33305-2305

Mailing address

15500 Voss Rd # 1079
Sugar Land, TX 77498-4601

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1376371450

Denebola TR's National Provider Identifier is 1376371450, issued on Jul 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilton Manors, FL. The record was last updated on Jul 22, 2024.