Mrs. Wanda Lisa Street, APRN-BC
Mrs. Wanda Lisa Street, APRN-BC is an Adult Psychiatric/Mental Health Registered Nurse in Fort Benning, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
6600 Van Aalst BlvdFort Benning, GA 31905-2102
Phone: (706) 544-8688
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence RN140175 (GA) |
|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0809X · Licence RN140175 (GA) |
Record details
| NPI number | 1336254648 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRN-BC |
| Sole proprietor | No |
| NPI enumerated | August 20, 2006 |
| Last updated in NPPES | December 29, 2022 |
| Certification date | December 29, 2022 |