Individual
GRETCHEN WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-4005
(404) 712-2000
Mailing address
33 INDIAN DR, WOOD RIVER, IL 62095-4005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041455812
IL
163W00000X
Registered Nurse
2019035196
MO
363L00000X
Nurse Practitioner
Primary
RN311997
GA
Other
Enumeration date
03/02/2022
Last updated
08/24/2022
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