| Theresa Lynn Wayer, | |
| 
					6836 Little Blue Ln, Harmony, FL 34773-6022  | |
| (850) 612-2902 | |
| Not Available | 
| Full Name | Theresa Lynn Wayer | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | 6836 Little Blue Ln, Harmony, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619729787 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WG0600X | Registered Nurse - Gerontology | 11032035 (Florida) | Secondary | 
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11032035 (Florida) | Primary | 
| Entity Name | Wound Technology Network, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626  | 
| Entity Name | Chma Of Fl, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912581653 PECOS PAC ID: 8123420643 Enrollment ID: O20210707000812  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Theresa Lynn Wayer, 6836 Little Blue Ln, Harmony, FL 34773-6022 Ph: (850) 612-2902  | Theresa Lynn Wayer, 6836 Little Blue Ln, Harmony, FL 34773-6022 Ph: (850) 612-2902  | 
Aidsha Vazquez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6939 Cupseed Ln, Harmony, FL 34773 Phone: 407-761-8346  | |
Dr. Eric Palmer, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6470 Way Point Blvd, Harmony, FL 34773 Phone: 321-334-3742 Fax: 480-864-6048  |