Wynn, Nancy C

Wynn, Nancy C is an individual health care provider with primary practice located at 5129 Dixie Hwy Suite 100, Louisville KY 40216-1727. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wynn, Nancy C can be contacted via phone (502) 447-8786.

Contact Information

Primary practice address
5129 Dixie Hwy Suite 100 Louisville KY 40216-1727
Phone: (502) 447-8786
Fax: (502) 447-8623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1106181 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004584 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3004584 Kentucky

Profile Details

NPI number 1023061728
LBN Legal business name Wynn, Nancy C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 8th, 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 1023061728 NPPES
Kentucky MEDICAID 710034392
Kentucky Other 000000537179

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