ALLIE RAE WAYMAN

NEWPORT, OR
NPI1720855653
Former NameALLIE RAE LARSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  14797)
Enumeration Date2023-12-11
Last Update Date2024-12-13
Business Address
ALLIE RAE WAYMAN DNP, PMHNP-BC
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 414-617-8595
Mailing Address
ALLIE RAE WAYMAN DNP, PMHNP-BC
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 414-617-8595