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Individual

EMILY WYNINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
711 DOCTOR MICHAEL DEBAKEY DR STE A, LAKE CHARLES, LA 70601-5785
(337) 312-8960
(337) 312-8961
Mailing address
711 DOCTOR MICHAEL DEBAKEY DR STE A, LAKE CHARLES, LA 70601-5785
(337) 312-8960
(337) 312-8961

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1000926
TX
363LF0000X
Family Nurse Practitioner
Primary
215697
LA

Other

Enumeration date
08/07/2020
Last updated
08/05/2025
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