MS. EMILY ROSE WYNN (NPI# 1093746463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093746463 |
| Entity Type | Individual |
| Full Name | MS. EMILY ROSE WYNN |
| Credential | MN, APRN, BC |
| Practice Address |
Phoebe Putney Memorial Hospital 417 Third Ave, Suite 300 Albany GA 31702-1828 |
| Mailing Address |
2604 E Doublegate Dr Albany GA 31721-9243 |
| Practice Telephone | 2293120300 |
| Practice Fax Number | 2293120295 |
| Mailing Telephone | 2298886235 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN159433 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075703 | Emily Wynn | Behavior Technician | 823 Dunlawton Ave, Port Orange, FL 32127-4220 | 2018-12-18 |
| 1487026118 | Emily Louise Wynn | Social Worker | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2015-10-21 |
| 1811924582 | Emily S Wynn | Speech-Language Pathologist | 4206 Retama Cir, Victoria, TX 77901-2765 | 2006-06-27 |
| Street Address |
PHOEBE PUTNEY MEMORIAL HOSPITAL 417 THIRD AVE, SUITE 300 |
| City | ALBANY |
| State | GA |
| Zip Code | 31702-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790102465 | Henry Rivers | Specialist/Technologist | 601 N. Van Bruen St., Albany, GA 31702 | 2014-03-19 |
| 1700215696 | Infinity Health Systems,inc | In Home Supportive Care | 141 West Broad Ave Suite D, 141 West Broad Avenue Suite D, Albany, GA 31702 | 2013-11-01 |
| 1114021847 | Phoebe Putney Memorial Hospital, Inc | Durable Medical Equipment & Medical Supplies | 417 3rd Ave, Albany, GA 31702-1828 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1780285551 | Rebeca C Moreno | Community Health Worker | 315 4th Ave Sw Fl 2, Albany, OR 97321-2338 | 2020-11-06 |
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1093314171 | Miranda Tasker | Doula | 636 11th Ave Sw, Albany, OR 97321-2506 | 2020-10-20 |
| 1548868987 | Heros for Success | Medical Foods Supplier | 431 Jefferies Ave, Albany, GA 31701-3431 | 2020-10-16 |
| 1740888379 | Candice Leggett Hunter | Driver | 1505 E Roosevelt Ave, Albany, GA 31705-2061 | 2020-10-15 |
| Find all providers in ALBANY | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MS. EMILY ROSE WYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.