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 10 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