Individual
WYNNE DEE RINICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/MASTER FNP
Contact information
Practice address
1140 S VIENNA ST, RUSTON, LA 71270-5834
(318) 224-7190
(318) 224-7194
Mailing address
PO BOX 1288, WINNFIELD, LA 71483-1288
(318) 209-4510
(318) 209-4519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06607
LA
Other
Enumeration date
08/04/2011
Last updated
06/26/2019
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