Individual
ELEANOR LYNETTE WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
801 E CHURCH ST, GREENEVILLE, TN 37745-6219
(423) 588-1220
Mailing address
59 SPRINGBROOK RD, AFTON, TN 37616-6057
(423) 278-0367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32129
TN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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