Individual
WANDA SUE FORLOINES-LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(336) 590-0848
Mailing address
1516 HENSLEY RD, CEDAR GROVE, NC 27231-9162
(919) 608-8853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000268
—
NC
Enumeration date
10/17/2006
Last updated
06/26/2020
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