Wynne, Alison E.

Wynne, Alison E. is an individual health care provider with primary practice located at Intermountain Healthcare 5121 S Cottonwood St, Murray UT 84107. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wynne, Alison E. can be contacted via phone (801) 507-4000.

Contact Information

Primary practice address
Intermountain Healthcare 5121 S Cottonwood St Murray UT 84107
Phone: (801) 507-4000
Fax: (801) 507-4811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00158616 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP30006970 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4330 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 10952123-4405 Utah

Profile Details

NPI number 1750300877
LBN Legal business name Wynne, Alison E.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 26th, 2018 - about 6 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 1750300877 NPPES
Washington Other 20554U REGENCE BLUESHIELD
Washington MEDICAID 9645250 REGENCE BLUESHIELD
Washington Other 0197481 REGENCE BLUESHIELD

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