Individual
TAYLOR MARIE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, BSN, FNP-C
Contact information
Practice address
520 MEDICAL CENTER DR STE 200, MEDFORD, OR 97504-4314
(541) 930-7222
(541) 930-7220
Mailing address
520 MEDICAL CENTER DR STE 200, MEDFORD, OR 97504-4314
(541) 930-7222
(541) 930-7220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10218749-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10011304
OR
Other
Enumeration date
06/03/2022
Last updated
03/28/2024
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