Individual
MARY L WYNN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8859
(512) 493-9237
Mailing address
19535 SANDCASTLE DR, SPICEWOOD, TX 78669-6702
(512) 599-5280
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP137379
TX
Other
Enumeration date
01/17/2006
Last updated
11/29/2018
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