Individual provider · Type 1 NPI
Wanda Ivelisse Nieves-Moreno, DC
Chiropractor · Brandon, FL
NPI number
1891780037
Active
Practice location
654 E Bloomingdale Ave
Brandon, FL 33511-8111
Fax (813) 654-8758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH8811 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1891780037
Wanda Ivelisse Nieves-Moreno, DC's National Provider Identifier is 1891780037, issued on Sep 14, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brandon, FL. The record was last updated on Aug 4, 2026.