Individual
WANDA YVETTE JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
957 CAROTHERS ARCH, VIRGINIA BEACH, VA 23464-4085
(757) 637-1452
Mailing address
957 CAROTHERS ARCH, VIRGINIA BEACH, VA 23464-4085
(757) 637-1452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00000
VA
163W00000X
Registered Nurse
0001290842
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
VIRGINIA BOARD OF NURSING
VA
Enumeration date
12/06/2024
Last updated
12/06/2024
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