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MRS. WANDA LISA STREET APRN-BC
NPI 1336254648
Nurse Practitioner - Psychiatric/Mental Health in Fort Benning, GA

Active since August 20, 2006
6600 VAN AALST BLVD, FORT BENNING, GA 31905(706) 544-8688 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Apr 19, 2022 (2 updates tracked since 2022).

About Mrs. Wanda Lisa Street Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. WANDA LISA STREET APRN-BC (NPI 1336254648) is an individual psychiatric/mental health provider in Fort Benning, Georgia, licensed in Georgia (RN140175) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1336254648
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. WANDA LISA STREETCredential: APRN-BC
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address1654 Ossahatchie Creek RdEllerslie, GA 31807-5342 · (706) 582-3575
Phone(706) 544-8688
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1336254648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN140175
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN140175 (GA)
6600 VAN AALST BLVD, Fort Benning, GA 31905
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Other Names 1

Former Name (1)Wanda Lisa Monroig

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Street's NPI number?

The NPI number for Wanda Street is 1336254648. It was assigned to this individual provider in the NPPES registry on August 20, 2006. The provider is also known as Wanda Lisa Monroig.

Where is Wanda Street located?

Wanda Street practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (706) 544-8688.

What is Wanda Street's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Wanda Street was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.