| NPI | 1023061728 |
|---|---|
| Former Name | NANCY WYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3004584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106181) |
| 363L00000X Nurse Practitioner (Licence: KY 3004584) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-12-12 |