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TYRONDA WHEATON
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1932645918
Individual Registrant: TYRONDA WHEATON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
117 ROCKY RIDGE ST CARROLLTON, AL 35447-2139 US
Tel: 205-463-6230 Fax: --
Tel: 205-463-6230 Fax: --
Contact information for business:
PO BOX 222 CARROLLTON, AL 35447-0222 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1932645918
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | AL | 2-054148 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
