| NPI | 1841541125 |
|---|---|
| Former Name | AMY ELIZABETH WYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19847) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19847) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19847) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 19847) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 19847) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 19847) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2025-01-08 |