Individual provider · Type 1 NPI

Nicholas Trent Wynn

Electroneurodiagnostic Specialist/Technologist · Tremonton, UT

NPI number 1184510703 Active

Practice location

9825 N 10800 W
Tremonton, UT 84337-9222

Call (801) 643-5057 Map

Fax (866) 311-6889

Mailing address

1503 June Dr
Farmington, UT 84025-2827

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1184510703

Nicholas Trent Wynn's National Provider Identifier is 1184510703, issued on Jun 18, 2025. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Tremonton, UT. The record was last updated on Jun 18, 2025.