Edmond, Wendy Phreud
Edmond, Wendy Phreud is an sole proprietor health care provider with primary practice located at 9299 Sw 152Nd St Ste 203 , Palmetto Bay FL 33157-1776. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Edmond, Wendy Phreud can be contacted via phone (305) 322-4166.Contact Information
Primary practice address
9299 Sw 152Nd St Ste 203
Palmetto Bay FL 33157-1776
Phone: (305) 322-4166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 64577 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 241821 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71013924A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 73900 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN9336037 | Florida |
Profile Details
| NPI number | 1013458561 |
|---|---|
| LBN Legal business name | Edmond, Wendy Phreud |
| Credentials | AC-AGNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2017 |
| Last updated | Sep 4th, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013458561 | NPPES |
| Indiana | Other | 267030310 | MEDICARE PTAN |
| Indiana | Other | OD206 | MEDICARE PTAN |
| Indiana | MEDICAID | 300076966 | MEDICARE PTAN |
| Indiana | MEDICAID | 023103400 | MEDICARE PTAN |
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