Doctor Name: | MICHELE I WETMORE |
NPI Number: | 1104094721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9230852 |
Business Practice Address: | 10000 W Colonial Dr Ste 488 Ocoee, FL - 347613436 |
Business Phone Number: | 4072961000 |
Business Fax Number: | |
Mailing Address: | 14225 Sonco Ave, WINDERMERE |
State: | FL |
Postal Code: | 347863135 |
Phone Number: | 4072879471 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2008 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | ARNP9230852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |