Individual provider · Type 1 NPI
Mary G. Wynne
Family Nurse Practitioner · Valhalla, NY
NPI number
1982175485
Active
Practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
314 W Washington Ave
Pearl River, NY 10965-2154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 331679 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982175485
Mary G. Wynne's National Provider Identifier is 1982175485, issued on Dec 9, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valhalla, NY. The record was last updated on Dec 9, 2018.