Individual
WENDY VIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12831 6TH ST STE E, LILLIAN, AL 36549-4166
(251) 962-4111
(251) 962-4112
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-088578
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246661
—
AL
Enumeration date
06/10/2019
Last updated
09/12/2022
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