Studivant, Wyniqua

Studivant, Wyniqua is an individual health care provider with primary practice located at 201 N Park Ave , Apopka FL 32703-4147. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Studivant, Wyniqua can be contacted via phone (407) 889-1953.

Contact Information

Primary practice address
201 N Park Ave Apopka FL 32703-4147
Phone: (407) 889-1953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP019871 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP019871 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11011179 Florida

Profile Details

NPI number 1578021796
LBN Legal business name Studivant, Wyniqua
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 3rd, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578021796 NPPES
Florida MEDICAID 110826800

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