Search › Mississippi › 363LA2100X
Wanda Ikeda, ACNP
NPI 1013114677 · on the registry since 2007
Practice
- Address
- 499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801 - Phone
- (662) 620-6800
- Fax
- (662) 377-2403
- Organisation at this address
- Athletico, Ltd
Charles E Atkins, Jr Dmd
John Russell, Iii, D.M.D.
Urologic Reference Lab Llc
Surgery Clinic Of Tupelo PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Additional practice sites
- 2892 S Lamar Blvd, Oxford, MS
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi