Individual provider · Type 1 NPI
Tanya Wynn
Licensed Practical Nurse · South Hackensack, NJ
NPI number
1285295832
Active
Practice location
541 Moonachie Rd
South Hackensack, NJ 07606-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 275824 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1285295832
Tanya Wynn's National Provider Identifier is 1285295832, issued on Jun 25, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in South Hackensack, NJ. The record was last updated on Jun 25, 2019.