Individual
MRS. WANDA LISA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(706) 544-8688
Mailing address
1654 OSSAHATCHIE CREEK RD, ELLERSLIE, GA 31807-5342
(706) 582-3575
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN140175
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN140175
GA
Other
Enumeration date
08/20/2006
Last updated
12/29/2022
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