Wanda B Liddell (NPI# 1649346271, PAC ID# 2567373384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649346271 |
| PAC ID by PECOS | 2567373384 |
| Professional Enrollment ID | I20041014000290 |
| Full Name | Wanda B Liddell |
| Organization Legal Name | TRI-COUNTY PRIMARY CARE INC |
| Address |
306 Ne Hwy 351 Cross City FL 32628-3105 |
| Phone Number | 3524983371 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214848027 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 306 Ne Hwy 351, Cross City, FL 32628-3105 | 3524983371 | TRI-COUNTY PRIMARY CARE INC |
| Organization Legal Name | TRI-COUNTY PRIMARY CARE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula L Davis | Nurse Practitioner | Tri-county Primary Care Inc | 306 Ne Hwy 351, Cross City, FL 32628-3105 |
| Street Address |
306 NE HWY 351 |
| City | CROSS CITY |
| State | FL |
| Zip | 32628-3105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula L Davis | Nurse Practitioner | Tri-county Primary Care Inc | 306 Ne Hwy 351, Cross City, FL 32628-3105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James H Minesinger | Optometry | 85 Ne 351 Hwy, Cross City, FL 32628 | |
| Jose Miguel Garces-rivera | General Practice | North Florida Medical Centers, Inc. | 412 Sw Hwy 351, Cross City, FL 32628-3827 |
| Alicia Yvette Davenport | Nurse Practitioner | North Florida Medical Centers, Inc. | 412 Sw Hwy 351, Cross City, FL 32628-3827 |
| City | CROSS CITY |
| Zip Code | 32628 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CROSS CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Wanda B Liddell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.