Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WENONAH GWYNN
Active Sole ProprietorWENONAH GWYNN is a Assisted Living Facility healthcare provider located in FORESTVILLE, Maryland. NPI 1073157293 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · FORESTVILLE, MD
Registration Details
- NPI Number
- 1073157293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2019 (6.8076520761882 yrs)
- Last Updated
- Oct 31, 2019
- License
-
16AL1226-A (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3333 PUMPHREY DRFORESTVILLE, MD, 207474308Browse MD providers · Browse ZIP 20747
- Phone
- 3017355741
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.