Individual
TRACY LYNN WYNGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
305 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-2661
(336) 679-7056
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011861
NC
363L00000X
Nurse Practitioner
7132
WI
Other
Enumeration date
08/12/2016
Last updated
09/04/2024
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