Provider Demographics
NPI:1023884749
Name:LABRADA, WENDYS (FNP)
Entity type:Individual
Prefix:
First Name:WENDYS
Middle Name:
Last Name:LABRADA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:WENDYS
Other - Middle Name:
Other - Last Name:ARTILES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13478 SW 277TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13478 SW 277TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8260
Practice Address - Country:US
Practice Address - Phone:305-772-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily