Individual
WENDY WIMBROW LAFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
10626 CHAPMAN HWY, SEYMOUR, TN 37865-4703
(865) 577-5231
(865) 577-1539
Mailing address
10626 CHAPMAN HWY, SEYMOUR, TN 37865-4703
(865) 577-5231
(865) 577-1539
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000012720
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000012720
APN
TN
Enumeration date
05/24/2007
Last updated
07/08/2007
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