Wynn, Charlotte Casey

Wynn, Charlotte Casey is an individual health care provider with primary practice located at 9900 Bren Rd E , Minnetonka MN 55343-9664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wynn, Charlotte Casey can be contacted via phone (334) 272-9684.

Contact Information

Primary practice address
9900 Bren Rd E Minnetonka MN 55343-9664
Phone: (334) 272-9684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-040730 Alabama

Profile Details

NPI number 1053377549
LBN Legal business name Wynn, Charlotte Casey
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Sep 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053377549 NPPES
Alabama Other 051029766 BLUE CROSS
Alabama MEDICAID 000029766 BLUE CROSS

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