person
Mrs. Wanda Lisa Street, APRN-BC
Psychiatric/Mental Health Nurse Practitioner in Fort Benning, Georgia
NPI 1336254648

Wanda Lisa Street is a Psychiatric/Mental Health Nurse Practitioner based in Ellerslie, GA and is specialized in Psychiatric/Mental Health. Wanda Lisa Street practices in Fort Benning, GA and has the professional credentials of APRN-BC. The NPI Number for Wanda Lisa Street is 1336254648 and holds a License No. RN140175 (Georgia).

The current practice location address for Wanda Lisa Street is 6600 Van Aalst Blvd, Fort Benning, GA and can be reached out via phone at 706-544-8688.

Location: 6600 Van Aalst Blvd, Fort Benning, GA, 31807-5342
person
Provider Profile Details
NPI Number
1336254648
Provider Name
Wanda Lisa Street
Credential
APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
6600 Van Aalst Blvd, Fort Benning, GA, 31807-5342
Phone Number
706-544-8688
Fax Number
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
State
Zip
31905-2102
Phone Number
706-544-8688
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
State
Zip
31905-2102
Phone Number
706-544-8688
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
RN140175 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN140175 (Georgia)
Definition
Definition to come...
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