IndividualActive
Wanda Bourne
NPI 1992801393 · Specialist · Gainesville, FL
Wanda Bourne is a Specialist provider in Gainesville, FL (NPI 1992801393).
Provider details
- NPI number
- 1992801393
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4901 (FL)
Practice location
Department of Veterans Affairs
1601 Sw Archer Road
Gainesville, FL 32608
Phone: (352) 376-1611
Approximate (ZIP-level) locationGet directions
Mailing address
8809 Sw 111th Ter
Gainesville, FL 32608-5861
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.