Most Relevant Information
Provider Data
| NPI Number: | 1003682667 |
| Provider Name: | ALEXANDRA VANWAGNER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11029640 |
Most Important Dates
| Enumeration Date: | 11/27/2023 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
911 WAREHOUSE RD APT 110105
ORLANDO
FL
328033563
Practice Location Phone/Fax
| Phone: | 5618898039 |
| Fax: |
Provider Mailing Location
911 WAREHOUSE RD APT 110105
ORLANDO
FL
328033563
Provider Mailing Phone/Fax
| Phone: | 5618898039 |
| Fax: |