Individual
ALLIE RAE WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(414) 617-8595
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(414) 617-8595
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14797
WI
Other
Enumeration date
12/11/2023
Last updated
12/13/2024
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