Individual
CARTER LYNNE WANAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
29 GLENBOURNE CT, WILLIAMSVILLE, NY 14221-3205
(317) 427-3599
Mailing address
29 GLENBOURNE CT, WILLIAMSVILLE, NY 14221-3205
(317) 427-3599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711035
NY
363LF0000X
Family Nurse Practitioner
Primary
345457
NY
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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