Individual
WANDA FAYE KRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1750 CEDAR LN STE 100, TULLAHOMA, TN 37388-4760
(931) 455-7779
Mailing address
PO BOX 1866, 1750 CEDAR LANE, SUITE 100, TULLAHOMA, TN 37388-1866
(931) 455-7779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000044411
TN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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