LISA WYNNE ARNP NPI 1417099656

NPI Information

NPI: 1417099656
Provider Name: LISA WYNNE, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: FLORIDA DEPARTMENT OF HEALTH

PECOS Registration: Yes

Address:
3100 SW 62ND AVE
MIAMI, FL
ZIP 33155
Phone: (786) 624-2636
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Lisa Wynne, ARNP is an adult health nurse practitioner in Miami, FL with 44 years of experience. Lisa Wynne, ARNP NPI is 1417099656. 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:

3100 SW 62ND AVE
MIAMI, FL
ZIP 33155-009
Phone: (786) 624-2636
Fax: (305) 668-5595

The NPI 1417099656 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 2/13/2007 and was last updated on 5/21/2014.

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	ARNP1750482	FLORIDA	Yes

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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