Wynn, Michelle Kathleen

Wynn, Michelle Kathleen is an sole proprietor health care provider with primary practice located at 3937 Pines Rd Suite H, Shreveport LA 71119-7301. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wynn, Michelle Kathleen can be contacted via phone (318) 635-1668.

Contact Information

Primary practice address
3937 Pines Rd Suite H Shreveport LA 71119-7301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 09989 Louisiana

Profile Details

NPI number 1831459056
LBN Legal business name Wynn, Michelle Kathleen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2012
Last updated May 22nd, 2012 - about 13 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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