Individual
MRS. LISA WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6200
Mailing address
364 SETTLEMENT RD, HAMILTON, AL 35570-7027
(205) 495-2413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-079763
AL
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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