Individual provider · Type 1 NPI
Racine M. Wabwende, APRN PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Loganville, GA
NPI number
1417897950
Active
Practice location
367 Baymist Dr
Loganville, GA 30052-9056
Fax (312) 383-3680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN-NP713696 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1417897950
Racine M. Wabwende, APRN PMHNP-BC's National Provider Identifier is 1417897950, issued on Apr 1, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Loganville, GA. The record was last updated on Apr 1, 2026.