NPI 1003068552

Wanda Laverne McGowan-Braynen, ARNP

Practitioner Adult Health Nurse Practitioner Miami, FL

Practice location

Address: 1611 NW 12th Ave, Miami, FL 33136-1005
Phone: (305) 585-1111
Fax: (305) 999-9941
Mailing address: 20315 NW 3rd CT, Miami Gardens, FL 33169-2526

Registered specialties

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence ARNP1750042 (FL)

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Registry record

NPI: 1003068552
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2008
Record last updated: 15 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.