BANDULA WIJEWARDENA ARNP NPI 1285153858

NPI Information

NPI: 1285153858
Provider Name: BANDULA WIJEWARDENA, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5301 S CONGRESS AVE
ATLANTIS, FL
ZIP 33462
Phone: (281) 854-5942
Get Directions

Bandula Wijewardena, ARNP is a gerontology nurse practitioner in Atlantis, FL. Bandula Wijewardena, ARNP NPI is 1285153858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5301 S CONGRESS AVE
ATLANTIS, FL
ZIP 33462-149
Phone: (281) 854-5942

The NPI 1285153858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2017 and was last updated on 9/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP9364931	FLORIDA	No
2	363LA2200X	Nurse Practitioner	Adult Health	ARNP9364931	FLORIDA	No
3	363LP2300X	Nurse Practitioner	Primary Care	ARNP9364931	FLORIDA	No
4	363LG0600X	Nurse Practitioner	Gerontology	ARNP9364931	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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