Provider Demographics
NPI:1811725401
Name:LINGERFELT, WANDA (CLD)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:
Last Name:LINGERFELT
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:
Other - Last Name:LINGERFELT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CLD
Mailing Address - Street 1:12641 BAHIA CT
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-7733
Mailing Address - Country:US
Mailing Address - Phone:501-288-7784
Mailing Address - Fax:
Practice Address - Street 1:6050 N 9TH AVE STE D
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8285
Practice Address - Country:US
Practice Address - Phone:850-696-7079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula