JOELLEN WYNNE FNP LLC NPI 1437264116

NPI Information

NPI: 1437264116
Provider Name: JOELLEN WYNNE, FNP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1881 NW 185TH AVE
SUITE 102
ALOHA, OR
ZIP 97006
Phone: (503) 439-1539
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JOELLEN WYNNE, FNP LLC is a family nurse practitioner in Aloha, OR. JOELLEN WYNNE, FNP LLC NPI is 1437264116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1881 NW 185TH AVE
SUITE 102
ALOHA, OR
ZIP 97006-822
Phone: (503) 439-1539
Fax: (503) 439-8960

The provider's authorized official is Joellen Wynne .
The authorized official title is President and has the following contact phone number (503) 439-1539.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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