Ikeda, Wanda
Ikeda, Wanda is an individual health care provider with primary practice located at 499 Gloster Creek Vlg Ste A2 , Tupelo MS 38801-4749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ikeda, Wanda can be contacted via phone (662) 620-6800.Contact Information
Primary practice address
499 Gloster Creek Vlg Ste A2
Tupelo MS 38801-4749
Phone: (662) 620-6800
Fax: (662) 377-2403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R696196 | Mississippi |
Profile Details
| NPI number | 1013114677 |
|---|---|
| LBN Legal business name | Ikeda, Wanda |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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