Dr. Tanya Monique Bronzell-Wynder
Nurse Practitioner - Adult Health
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
Dr. Tanya Monique Bronzell-Wynder
Nurse Practitioner - Adult Health
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
(215) 707-6867
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Dr. Tanya Monique Bronzell-Wynder
- 2450 W Hunting Park Ave
- Philadelphia, PA
- Zip : 19129-1302
- Fax : (215) 707-6867
- Phone : (215) 707-5864
Second Address
- Dr. Tanya Monique Bronzell-Wynder
- 3401 N Broad St
- Philadelphia, PA
- Zip : 19140-5103
- Fax : (215) 707-6867
- Phone : (215) 707-5864
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | SP008348 | PA |
National Provider Identifier
| NPI | 1013913797 |
|---|---|
| Provider Name | Dr. Tanya Monique Bronzell-Wynder |
| First Address | Philadelphia, PA 19129-1302 |
| Second Address | Philadelphia, PA 19140-5103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 19/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102679121 | (05) | PA |
| Q37819 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.