Provider Demographics
NPI:1245083682
Name:BYARS, WANKISHA ANNEKA (APRN)
Entity type:Individual
Prefix:
First Name:WANKISHA
Middle Name:ANNEKA
Last Name:BYARS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N FEDERAL HWY STE 601
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2467
Mailing Address - Country:US
Mailing Address - Phone:786-316-9359
Mailing Address - Fax:
Practice Address - Street 1:701 N FEDERAL HWY STE 601
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2467
Practice Address - Country:US
Practice Address - Phone:954-482-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2025-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner