Individual provider · Type 1 NPI
Wallette Gwen Widener, NP
Nurse Practitioner · Savannah, GA
Practice location
6602 Waters Ave Bldg C
Savannah, GA 31406-2716
Fax (912) 790-6456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN113693 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1669580262
Wallette Gwen Widener, NP's National Provider Identifier is 1669580262, issued on Aug 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Savannah, GA. The record was last updated on Aug 5, 2010.