Organization Active NPI

Wander Nursing LLC

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1447073986
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WANDER NURSING LLC
Practice address
9494 NW 26TH PL
Sunrise, FL 33322-2737
Phone
(585) 300-1846
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ana Madalys Cedeno Reyes, FNPNPI 1689491441
Title
Manager
Phone
(585) 300-1846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9494 NW 26TH PL
Sunrise, FL 33322-2737

Mailing address

9494 NW 26TH PL
Sunrise, FL 33322-2737
Phone (585) 300-1846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1447073986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 NW 26TH PL",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222737",
            "telephone_number": "585-300-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 NW 26TH PL",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222737",
            "telephone_number": "585-300-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDER NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "CEDENO REYES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MADALYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "585-300-1846",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.