Ember Lee Charlotte Wackelin

NPI #1487435699 in Nokomis, Florida

Provider Information

NPI Number
1487435699
Entity Type
Individual
Name
Ember Lee Charlotte Wackelin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 12, 2023
Last Updated
Oct 12, 2023

Practice Location

Address
612 HAMLIN ST
State
Florida
ZIP Code
34275-5116
Phone
(941) 549-9540

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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