| Doctor Name: | CYNTHIA WREN |
| NPI Number: | 1023389939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | AP60268682 |
| Business Practice Address: | 39th Medical Group Unit 7095 Box 185, Bldg 865 Apo, AE - 09824 |
| Business Phone Number: | 011903223163141 |
| Business Fax Number: | |
| Mailing Address: | Unit 7095 Box 185 Building 865, APO |
| State: | AE |
| Postal Code: | 09824 |
| Phone Number: | 011903223163141 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 04/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | AP60268682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |