OrganizationActive
First Assistant, Prn
NPI 1205029444 · Registered Nurse First Assistant · Plantation, FL
Provider details
- NPI number
- 1205029444
- Entity type
- Organization
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Organization subpart
- No
- Authorized official
- Wanda Keyes, Regestered Nurse First Assistant(954) 474-6755
- License
- RN3409512 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12001 Nw 5th Ct
Plantation, FL 33325-1817
Phone: (954) 474-6755
Fax: (954) 916-6449
Street-level locationGet directions
Mailing address
12001 Nw 5th Ct
Plantation, FL 33325-1817
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.