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Individual
WANDA FREEMAN
Active
Individual
WANDA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704242478
MI
363LF0000X
Family Nurse Practitioner
95003903
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202214246NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95003903
CA
Other
Enumeration date
08/29/2009
Last updated
09/22/2022
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