Individual provider · Type 1 NPI

Laneta T. Wynn, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Burbank, CA

NPI number 1831907765 Active

Practice location

2501 W Burbank Blvd
Burbank, CA 91505-2347

Mailing address

4715 7th Ave
Los Angeles, CA 90043-1339

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X95030436 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1831907765

Laneta T. Wynn, NURSE PRACTITIONER's National Provider Identifier is 1831907765, issued on Dec 23, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Burbank, CA. The record was last updated on Sep 10, 2025.