DR. TANYA MONIQUE BRONZELL-WYNDER DNP CRNP NPI 1013913797

NPI Information

NPI: 1013913797
Provider Name: DR. TANYA MONIQUE BRONZELL-WYNDER, DNP, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: TEMPLE FACULTY PRACTICE PLAN INC

PECOS Registration: Yes

Address:
3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-5864
Get Directions

DR. Tanya Monique Bronzell-wynder, DNP, CRNP is an adult health nurse practitioner in Philadelphia, PA with 20 years of experience. DR. Tanya Monique Bronzell-wynder, DNP, CRNP NPI is 1013913797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140-103
Phone: (215) 707-5864
Fax: (215) 707-6867

The NPI 1013913797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 4/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	SP008348	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102679121	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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