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Mary G Wynne

Nurse Practitioner, Family in Valhalla, NY. Individual provider (NPI-1).

NPI number1982175485
StatusActive
Last updated in NPPESDec 9, 2018

Details

NPI
1982175485
Entity type
Individual (NPI-1)
Name
Mary G Wynne
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2018
Last updated
Dec 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family331679NYYes

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-493-7000

Mailing address

314 W Washington Ave
Pearl River, NY 10965-2154

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