| 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 | Intensive Care Experts Health Network, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164824397 PECOS PAC ID: 6608195599 Enrollment ID: O20150427001036 |
| 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: Accepting Medicare Assignments Practice Location: 6939 Cupseed Ln, Harmony, FL 34773 Phone: 407-761-8346 |
Karen Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2616 Harmonia Hammock Rd, Harmony, FL 34773 Phone: 914-403-2845 |