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Wallette Gwen Widener, NP
Nurse Practitioner in Savannah, Georgia
NPI 1669580262

Wallette Gwen Widener is a Nurse Practitioner based in Savannah, GA. Wallette Gwen Widener practices in Savannah, GA and has the professional credentials of NP. The NPI Number for Wallette Gwen Widener is 1669580262 and holds a License No. RN113693 (Georgia).

The current practice location address for Wallette Gwen Widener is 6602 Waters Ave Bldg C, Savannah, GA and can be reached out via phone at 912-354-7676 and via fax at 912-790-6456.

Location: 6602 Waters Ave Bldg C, Savannah, GA, 31406-2716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669580262
Provider Name
Wallette Gwen Widener
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6602 Waters Ave Bldg C, Savannah, GA, 31406-2716
Phone Number
912-354-7676
Fax Number
912-790-6456
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410170417A 05 GA
institution
Provider Business Practice Location Address Details
Address
6602 Waters Ave Bldg C
City
Savannah
State
Georgia
Zip
31406-2716
Phone Number
912-354-7676
Fax Number
912-790-6456
person
Provider Business Mailing Address Details
Address
6602 Waters Ave Bldg C
City
Savannah
State
Georgia
Zip
31406-2716
Phone Number
912-354-7676
Fax Number
912-790-6456
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN113693 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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