Individual ProviderWanda Sue Forloines-LynnNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(336) 590-0848(919) 608-8853PECOS EnrollmentBased on the most recent information from CMS, provider Wanda Sue Forloines-Lynn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1699855189Provider TypeIndividualFull NameForloines-Lynn, Wanda SueCredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/17/2006Last Updated6/26/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(336) 590-0848FaxUnlisted FaxMailing LocationMailing Address1516 Hensley Rd, Cedar Grove, NC 27231-9162Phone(919) 608-8853FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense900239North CarolinaProvider IdentifiersIDDescriptionIssuerID7000268DescriptionMedicaidIssuerUnlistedNorth Carolina