Individual
MRS. MICHELLE LUETTE WANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
721 JETTON ST STE 115, DAVIDSON, NC 28036-0359
(704) 255-6167
Mailing address
721 JETTON ST STE 115, DAVIDSON, NC 28036-0359
(704) 255-6167
(704) 255-6168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014357
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
WAND-8GUMJ
NC
Other
Enumeration date
04/22/2021
Last updated
02/25/2026
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