Individual
ANNETTE FAY WANNAMAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
508 N 2ND ST, NASHVILLE, AR 71852-3925
(870) 845-3110
(870) 845-5617
Mailing address
508 N 2ND ST, NASHVILLE, AR 71852-3925
(870) 845-3110
(870) 845-5617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L29201
AR
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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