Individual
DR. TANYA MONIQUE BRONZELL-WYNDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
433 N 7TH ST FL 1, CAMDEN, NJ 08102-2212
(856) 288-9115
(856) 379-4286
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-5864
(215) 707-6867
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP013200
PA
363LA2200X
Adult Health Nurse Practitioner
SP008348
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00600900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102679121
—
PA
Enumeration date
06/27/2005
Last updated
02/02/2023
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