Provider Demographics
NPI:1952159584
Name:ESPINOSA, WENDI FAYE (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:FAYE
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1442 NE 54TH ST
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4933
Mailing Address - Country:US
Mailing Address - Phone:954-394-0682
Mailing Address - Fax:
Practice Address - Street 1:1442 NE 54TH ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-4933
Practice Address - Country:US
Practice Address - Phone:954-394-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9552445163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse