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Beverly Wynne

Nurse Practitioner - Neonatal (Critical Care)

677 Church St Ne
Marietta , Georgia 30060-1101

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Beverly Wynne

Nurse Practitioner - Neonatal (Critical Care)

677 Church St Ne
Marietta , Georgia 30060-1101

(770) 424-6172

Write a Review Save Call

Beverly Wynne

Nurse Practitioner - Neonatal (Critical Care)

677 Church St Ne
Marietta , Georgia 30060-1101

(770) 424-6172 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Neonatal (Critical Care)

Languages spoken

  • English

Location

677 Church St Ne Marietta , Georgia 30060-1101

First Address

  • Beverly Wynne
  • 4120 Brigade Trl Nw
  • Kennesaw, GA
  • Zip : 30152-7722
  • Phone : (770) 424-6172

Second Address

  • Beverly Wynne
  • 677 Church St Ne
  • Marietta, GA
  • Zip : 30060-1101
  • Phone : (770) 792-9808

Reviews

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FAQs


Where did Beverly Wynne attend graduate school?

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Where did Beverly Wynne do her residency?

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Where did Beverly Wynne do her fellowship?

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Is Beverly Wynne board certified?

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What type of doctor is Beverly Wynne

Nurse Practitioner - Neonatal (Critical Care)

In what state does Beverly Wynne practice in?

Georgia

Where is Beverly Wynne ’s practice located?

677 Church St Ne , Marietta, Georgia, 30060-1101

What is Beverly Wynne ’s gender?

Female

Is Beverly Wynne a sole practitioner?

No

Is Beverly Wynne accepting new patients?

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What languages does Beverly Wynne speak?

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Does Beverly Wynne accept insurance?

Yes, Beverly Wynne accepts insurance

Does Beverly Wynne offers telemedicine?

Beverly Wynne has not indicated if she offers telemedicine

What is Beverly Wynne ’s professional license number?

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What is Beverly Wynne ’s NPI number?

1083012561

Does Beverly Wynne have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LN0005X Nurse Practitioner - Neonatal (Critical Care) RN079004 GA

National Provider Identifier

NPI 1083012561
Provider Name Beverly Wynne
First Address Kennesaw, GA 30152-7722
Second Address Marietta, GA 30060-1101
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/12/2014
Last Update Date 15/12/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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