Wheaton, Laurin Revere

Wheaton, Laurin Revere is an sole proprietor health care provider with primary practice located at 1009 Windcross Ct , Franklin TN 37067-2678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Wheaton, Laurin Revere can be contacted via phone (615) 946-4519.

Contact Information

Primary practice address
1009 Windcross Ct Franklin TN 37067-2678
Phone: (615) 946-4519
Fax: (615) 658-5142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 13815 Tennessee

Profile Details

NPI number 1326283011
LBN Legal business name Wheaton, Laurin Revere
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2008
Last updated Jul 29th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326283011 NPPES
Tennessee Other 1510016 MCC-MEDICAID-TN
Tennessee MEDICAID 1510016 MCC-MEDICAID-TN

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