Wanda Ivelisse Nieves-Moreno in Brandon - Chiropractor
Wanda Ivelisse Nieves-Moreno - NPI 1891780037
Wanda Ivelisse Nieves-Moreno is a Chiropractor in Brandon, Florida. Wanda Ivelisse Nieves-Moreno practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wanda Ivelisse Nieves-Moreno is 1891780037. The last update date is 2011-05-26.
Wanda Ivelisse Nieves-Moreno's current location address is 654 E Bloomingdale Ave, Brandon, Florida. You can contact this provider via phone number 8136855200 and fax number 8136548758. The mailing address for Wanda Ivelisse Nieves-Moreno is 654 E Bloomingdale Ave, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Ivelisse Nieves-Moreno |
|---|---|
| Address | 654 E Bloomingdale Ave, Brandon, Florida |
| Phone Number | 8136855200 |
| Fax Number | 8136548758 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1891780037 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2011-05-26 |
Provider Mailing Address Detail
| Address | 654 E Bloomingdale Ave |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335118111 |
| Phone Number | 8136855200 |
| Fax Number | 8136548758 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH8811 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 381946900 | FL | -- | |
| U6011Z | FL | MEDICARE PTAN |
Post Comment/ Review Below
What is the Wanda Ivelisse Nieves-Moreno's unique identification number?
The Wanda Ivelisse Nieves-Moreno has been assigned the NPI (National Provider Identifier) Number 1891780037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Wanda Ivelisse Nieves-Moreno is physically located?
The Wanda Ivelisse Nieves-Moreno is situated at the following address: 654 E Bloomingdale Ave, Brandon, FL 335118111.
What is the area of specialization for Wanda Ivelisse Nieves-Moreno, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wanda Ivelisse Nieves-Moreno is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When was the Wanda Ivelisse Nieves-Moreno's 1891780037 issued?
The Wanda Ivelisse Nieves-Moreno's 1891780037 was issued on 2005-09-14.
When was the information regarding Wanda Ivelisse Nieves-Moreno most recently updated?
The details pertaining to the Wanda Ivelisse Nieves-Moreno, including its address, specialty, and other relevant information, were last refreshed on 2011-05-26.