Individual
MS. YVANE MARGARET WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.-N.P.
Contact information
Practice address
497 WINN WAY STE A210, DECATUR, GA 30030-1712
(404) 294-7033
(404) 296-4661
Mailing address
497 WINN WAY STE A210, DECATUR, GA 30030-1712
(404) 294-7033
(404) 296-4661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN137772
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN137772
STATE LICENCE
GA
Enumeration date
11/08/2006
Last updated
07/08/2007
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