Individual
MRS. WENDY LEE FARACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1061 HARMON AVE, FT STEWART, GA 31314-5604
(912) 435-5902
(912) 435-5059
Mailing address
1061 HARMON AVE, FT STEWART, GA 31314-5604
(912) 435-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN109775NP
GA
Other
Enumeration date
08/30/2005
Last updated
02/23/2011
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