Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LANETA T WYNN, NURSE PRACTITIONER
Active Sole ProprietorLANETA T WYNN, NURSE PRACTITIONER is a Gerontological Nurse Practitioner healthcare provider located in BURBANK, California. NPI 1831907765 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · BURBANK, CA
Registration Details
- NPI Number
- 1831907765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2024 (1.5977689130552 yrs)
- Last Updated
- Sep 10, 2025
- License
-
95030436 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2501 W BURBANK BLVDBURBANK, CA, 915052347Browse CA providers · Browse ZIP 91505
- Phone
- 8779296863
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in BURBANK, CA
| Name | Credential | NPI |
|---|---|---|
| SHAWN O'MALLEY | NP | 1366992489 |
| KIMBERLY ANN GERALDEZ GRAVA | N.P. | 1851836894 |
| EUN KYUNG PARK | GNP | 1194226936 |
| BRANDI BLAKES | — | 1174281539 |
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.