Most Relevant Information
Provider Data
| NPI Number: | 1003502642 |
| Provider Name: | MAXINE WARDLOW |
| Entity Type: | Individual |
| Taxonomy Code: | 364SA2100X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 9291770 |
Most Important Dates
| Enumeration Date: | 04/17/2023 |
| Last Updated: | 04/17/2023 |
Provider Practice Location
2300 S PARK RD APT 107
HALLANDALE BEACH
FL
330093001
Practice Location Phone/Fax
| Phone: | 9543749326 |
| Fax: |
Provider Mailing Location
2300 S PARK RD APT 107
HALLANDALE BEACH
FL
330093001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |