NPI 1144579525

Wenjun Wang Martin, AA

Practitioner Anesthesiologist Assistant Lake Wales, FL

Practice location

Address: 410 S 11th St, Lake Wales, FL 33853-4203
Phone: (863) 402-0064
Mailing address: PO Box 2327, Lake Wales, FL 33859-2327

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA323 (FL)

Other Anesthesiologist Assistant providers in Florida →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 2012030849 (MO)

Registry record

NPI: 1144579525
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2012
Record last updated: 14 Apr 2024

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.