Individual
DR. BRENDAN PATRICK WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.N.P.
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-1286
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8013
(781) 744-5235
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
260469
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
260469
MA
Other
Enumeration date
08/13/2013
Last updated
09/30/2013
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