Provider Demographics
NPI:1134397375
Name:WEMPE, EVELYN P (ARNP, ACNP-BC)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:P
Last Name:WEMPE
Suffix:
Gender:F
Credentials:ARNP, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 NW 12TH AVE
Mailing Address - Street 2:INTERVENTIONAL RADIOLOGY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1002
Mailing Address - Country:US
Mailing Address - Phone:305-243-8673
Mailing Address - Fax:305-243-3181
Practice Address - Street 1:1475 NW 12TH AVE
Practice Address - Street 2:INTERVENTIONAL RADIOLOGY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-8673
Practice Address - Fax:305-243-3181
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9187635363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner