Individual provider · Type 1 NPI

Beverly Wynne, APRN

Critical Care Neonatal Nurse Practitioner · Marietta, GA

NPI number 1083012561 Active

Practice location

677 Church St NE
Marietta, GA 30060-1101

Mailing address

4120 Brigade Trl NW
Kennesaw, GA 30152-7722

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XRN079004 (GA)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1083012561

Beverly Wynne, APRN's National Provider Identifier is 1083012561, issued on Dec 15, 2014. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Marietta, GA. The record was last updated on Dec 15, 2014.