Individual
FANIE WEHMANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 612-6995
(706) 369-6328
Mailing address
3364 RIDGE MANOR WAY, DACULA, GA 30019-2728
(561) 859-4172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN273751
GA
163WE0003X
Emergency Registered Nurse
RN273751
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN273751
GA
Other
Enumeration date
05/13/2020
Last updated
11/27/2023
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