Individual
MS. WYNN O'LINN FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401
(336) 832-6500
Mailing address
PO BOX 745040, ATLANTA, GA 30374-5040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117653
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3048
NC
Other
Enumeration date
12/01/2006
Last updated
10/15/2024
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