Wanda L Wynn, PA

NPI #1093719650 in Lincoln, Nebraska

Provider Information

NPI Number: 1093719650
Entity Type: Individual
Name: Wanda L Wynn, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 10, 2005
Last Updated: Jul 8, 2011

Practice Location

Address: 4210 PIONEER WOODS DR
Address 2: STE A
City: Lincoln
State: Nebraska
ZIP Code: 68506-7561
Phone: (402) 488-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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