Whalio Doctors

NPI 1013001973

Tanya S Wilcox, NP

Practitioner Pediatric Nurse Practitioner Kennesaw, GA

Practice location

Address
1770 Dennis Kemp Ln NW, Kennesaw, GA 30152-3938
Phone
(770) 515-9000

Registered specialties

Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence RN143313 (GA)

Registry record

NPI
1013001973
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Oct 2006
Record last updated
5 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.