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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANYA WYNN

Active Sole Proprietor

TANYA WYNN is a Licensed Practical Nurse healthcare provider located in SOUTH HACKENSACK, New Jersey. NPI 1285295832 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SOUTH HACKENSACK, NJ

Registration Details

NPI Number
1285295832
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2019 (7.1350768427937 yrs)
Last Updated
Jun 25, 2019
License
275824 (NY)
Sole Proprietor
Yes

Practice Information

Address
541 MOONACHIE RD
SOUTH HACKENSACK, NJ, 076061640
Browse NJ providers · Browse ZIP 07606
Phone
2012128278
Primary Specialty
Licensed Practical Nurse
164W00000X
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.