Individual
MRS. LACEY GABRIELLE WAYLAND-VAULNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(870) 523-2124
(870) 523-5168
Mailing address
221 LINDLEY LN, NEWPORT, AR 72112-4954
(870) 523-2124
(870) 523-5168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
217535
AR
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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