Individual
KARRI BRITTON WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
310 S MCCASKEY RD, WILLIAMSTON, NC 27892-2150
(252) 809-6300
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221679
NC
367500000X
Certified Registered Nurse Anesthetist
102266
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477963627
—
NC
01
—
Q47121A
MEDICARE
NC
Enumeration date
04/28/2014
Last updated
09/20/2022
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