ALISON E. WYNNE ARNP NPI 1750300877

NPI Information

NPI: 1750300877
Provider Name: ALISON E. WYNNE, ARNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
INTERMOUNTAIN HEALTHCARE
5121 S COTTONWOOD ST
MURRAY, UT
ZIP 84107
Phone: (801) 507-4000
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Alison E. Wynne, ARNP is an acute care nurse practitioner in Murray, UT with 22 years of experience. Alison E. Wynne, ARNP NPI is 1750300877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

INTERMOUNTAIN HEALTHCARE
5121 S COTTONWOOD ST
MURRAY, UT
ZIP 84107
Phone: (801) 507-4000
Fax: (801) 507-4811

The NPI 1750300877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 10/26/2018.

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	163W00000X	Registered Nurse		RN00158616	WASHINGTON	No
2	363LA2100X	Nurse Practitioner	Acute Care	10952123-4405	UTAH	Yes
3	363LA2100X	Nurse Practitioner	Acute Care	4330	SOUTH CAROLINA	No
4	363LA2100X	Nurse Practitioner	Acute Care	AP30006970	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9645250	MEDICAID	WASHINGTON
2	0197481	OTHER	WASHINGTON	LABOR & INDUSTRY
3	20554U	OTHER	WASHINGTON	REGENCE BLUESHIELD

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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