Individual
MELISSA A WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
512 NW 9TH ST, DELRAY BEACH, FL 33444-2836
(845) 705-3777
Mailing address
512 NW 9TH ST, DELRAY BEACH, FL 33444-2836
(845) 705-3777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2299860
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
11004240
FL
Other
Enumeration date
09/21/2017
Last updated
01/13/2020
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