Linda Sue Wardlaw
Nurse Practitioner in Tampa, FL. Individual provider (NPI-1).
NPI number1457045809
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1457045809
- Entity type
- Individual (NPI-1)
- Name
- Linda Sue Wardlaw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2023
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11026757 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | APRN11026757 | FL |
Practice location
4003 S West Shore Blvd Apt 3406Tampa, FL 33611-1035
Phone 813-788-8160
Mailing address
4003 S West Shore BlvdTampa, FL 33611-1046
Phone 813-788-8160
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