Individual
KRISTEN DECKER WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 454-2000
Mailing address
306 HOLLY CREEK DR, IRMO, SC 29063-8970
(678) 634-8896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN277737
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN277737
GA
Other
Enumeration date
06/09/2022
Last updated
06/14/2024
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