Individual provider · Type 1 NPI
Wanda Hix Bourne
Specialist · Gainesville, FL
NPI number
1992801393
Active
Practice location
Department Of Veterans Affairs, 1601 SW Archer Road
Gainesville, FL 32608
Mailing address
8809 SW 111th Ter
Gainesville, FL 32608-5861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4901 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1992801393
Wanda Hix Bourne's National Provider Identifier is 1992801393, issued on Sep 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.