Individual provider · Type 1 NPI

Wayne Craig Love Jr.

Pediatric Nurse Practitioner · St. Petersburg, FL

NPI number 1669069951 Active

Practice location

625 6th Ave S
St. Petersburg, FL 33701-4662

Call (727) 498-8994 Map

Mailing address

1001 45th St N
St. Petersburg, FL 33713-5215

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	11006563 (FL)

Pediatric Nurse Practitioner: Definition to come...

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Caleb Sparkman, AU.D.Audiologist St. Petersburg, FL NPI 1902235203
Jennifer Ayscue, MDColon & Rectal Surgery Physician St. Petersburg, FL NPI 1265411227

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About NPI 1669069951

Wayne Craig Love Jr.'s National Provider Identifier is 1669069951, issued on Dec 21, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 21, 2020.