Provider Demographics
NPI:1376507095
Name:SETTLE, WANDA LEE (ARNP)
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:LEE
Last Name:SETTLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 RIO VILLA DRIVE #3370
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-7456
Mailing Address - Country:US
Mailing Address - Phone:410-610-8218
Mailing Address - Fax:
Practice Address - Street 1:215 RIO VILLA DRIVE #3370
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-7456
Practice Address - Country:US
Practice Address - Phone:410-610-8218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNP082802363LW0102X
FLARNP9382388363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHY789ZOtherMEDICARE PTAN
FL011910100Medicaid
FLHY789ZOtherMEDICARE PTAN