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Wanda Renee Beaver
Family Nurse Practitioner in Dyersburg, Tennessee
NPI 1396160222

Wanda Renee Beaver is a Family Nurse Practitioner based in Dyersburg, TN and is specialized in Family. Wanda Renee Beaver practices in Dyersburg, TN. The NPI Number for Wanda Renee Beaver is 1396160222 and holds a License No. 18855 (Tennessee).

The current practice location address for Wanda Renee Beaver is 1999 Saint John Ave, Dyersburg, TN and can be reached out via phone at 731-286-1400 and via fax at 731-286-0109.

Location: 1999 Saint John Ave, Dyersburg, TN, 38024-7827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396160222
Provider Name
Wanda Renee Beaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
1999 Saint John Ave, Dyersburg, TN, 38024-7827
Phone Number
731-286-1400
Fax Number
731-286-0109
Provider Enumeration Date
03/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1999 Saint John Ave
City
Dyersburg
State
Tennessee
Zip
38024-2117
Phone Number
731-286-1400
Fax Number
731-286-0109
person
Provider Business Mailing Address Details
Address
1999 Saint John Ave
City
Dyersburg
State
Tennessee
Zip
38024-2117
Phone Number
731-286-1400
Fax Number
731-286-0109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
18855 (Tennessee)
Definition
Definition to come...
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