Doctor Name: | MRS. PATRICIA ANN WRYNN |
NPI Number: | 1225388853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.,BSN |
License Number: | 28161882A |
Business Practice Address: | 1511 Virginia Ave Connersville, IN - 473312825 |
Business Phone Number: | 7656920301 |
Business Fax Number: | |
Mailing Address: | 1511 Virginia Ave, CONNERSVILLE |
State: | IN |
Postal Code: | 473312825 |
Phone Number: | 7656920301 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2012 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0800X |
License Number: | 28161882A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neuroscience |
Taxonomy Definition: |