Wynne, Nancy

Wynne, Nancy is an individual health care provider with primary practice located at 352 State Street , New Haven CT 06473-3108. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wynne, Nancy can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
352 State Street New Haven CT 06473-3108
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 16956 Connecticut

Profile Details

NPI number 1467882902
LBN Legal business name Wynne, Nancy
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2013
Last updated Nov 20th, 2013 - about 11 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 1467882902 NPPES
Connecticut MEDICAID 004082286
Connecticut MEDICAID 500000315
Connecticut MEDICAID 008022626

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