Mina L Wayman, GNP

NPI #1386829687 in Montpelier, Idaho

Provider Information

NPI Number
1386829687
Entity Type
Individual
Name
Mina L Wayman, GNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
GNP
Enumeration Date
Jan 4, 2008
Last Updated
Jul 12, 2019

Practice Location

Address
152 S 4TH ST
State
Idaho
ZIP Code
83254-1538
Phone
(435) 755-6061

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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