Individual
THERESA LYNN WAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6836 LITTLE BLUE LN, HARMONY, FL 34773-6022
(850) 612-2902
Mailing address
6836 LITTLE BLUE LN, HARMONY, FL 34773-6022
(850) 612-2902
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
11032035
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11032035
FL
Other
Enumeration date
04/03/2024
Last updated
05/14/2025
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