Individual
MRS. CAROLYN MARIE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 BACK RD., OCRACOKE, NC 27960
(252) 928-1511
(252) 928-7391
Mailing address
58 SECOND AVE, PO BOX 594, OCRACOKE, NC 27960
(252) 928-3020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
058076
NC
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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