La Wanna Wallen Brock, F.N.P., A.P.N.

NPI #1407932387 in Tazewell, Tennessee

Provider Information

NPI Number
1407932387
Entity Type
Individual
Name
La Wanna Wallen Brock, F.N.P., A.P.N.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
F.N.P., A.P.N.
Enumeration Date
Oct 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1442 NORTH BROAD STREET
Address 2
SUITE 7
ZIP Code
37879
Phone
(423) 626-6145

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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