MRS. TRACY ANN MOONEY WYNDER RN NPI 1770890006

NPI Information

NPI: 1770890006
Provider Name: MRS. TRACY ANN MOONEY WYNDER, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
207 EVERHART ST
DUPONT, PA
ZIP 18641
Phone: (570) 262-8534
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MRS. Tracy Ann Mooney Wynder, RN is a home health registered nurse in Dupont, PA. MRS. Tracy Ann Mooney Wynder, RN NPI is 1770890006. 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:

207 EVERHART ST
DUPONT, PA
ZIP 18641-107
Phone: (570) 262-8534

The enumeration date for this NPI number is 9/8/2010 and was last updated on 9/8/2010.

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	163W00000X	Registered Nurse		RN526993L	PENNSYLVANIA	No
2	163WW0000X	Registered Nurse	Wound Care	RN526993L	PENNSYLVANIA	No
3	163WH0200X	Registered Nurse	Home Health	RN526993L	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	RN526993L	OTHER	PENNSYLVANIA	RN
2	RN526993L	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: 5/5/2024

NPI Synchronization or Removal

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