Individual
MRS. DANIELLE RENEE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1649 HIGHWAY 192 W, LONDON, KY 40741-1674
(606) 330-0055
Mailing address
1649 HIGHWAY 192 W, LONDON, KY 40741-1674
(606) 330-0055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015407
KY
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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