Individual
AMY L WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1103 15TH AVE SE, DECATUR, AL 35601-3345
(256) 350-0153
Mailing address
1103 15TH AVE SE, DECATUR, AL 35601-3345
(256) 350-0153
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP.1-076002
AL
Other
Enumeration date
06/29/2010
Last updated
01/29/2013
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