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Individual
LAURA E WYMAN
Active
Individual
LAURA E WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013825
PA
363LP0200X
Pediatric Nurse Practitioner
514032L
PA
363LP0200X
Pediatric Nurse Practitioner
551174
CA
Other
Enumeration date
03/08/2012
Last updated
08/26/2020
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