Mrs Carol Ann Wynn, NP-C | |
27351 Dequindre Rd, Madison Heights, MI 48071-3487 | |
(248) 967-7655 | |
Not Available |
Full Name | Mrs Carol Ann Wynn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 27351 Dequindre Rd, Madison Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346526662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4704234489 (Michigan) | Primary |
Entity Name | Ascension Providence Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carol Ann Wynn, NP-C 4983 Juniper Dr, Commerce Township, MI 48382-1545 Ph: (313) 402-5612 | Mrs Carol Ann Wynn, NP-C 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7655 |
Dr. Lisa Marie Wargo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7000 | |
Eric G. Herron, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 249-967-7000 | |
Rachel Hetzner, RN, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28180 John R Rd, Madison Heights, MI 48071 Phone: 248-336-0500 | |
Aminur Rahman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 E Twelve Mile Rd, Madison Heights, MI 48071 Phone: 313-721-1044 | |
Ms. Christina Marie Audia, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7000 | |
Erin Michele Dzeroogian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 586-899-6659 | |
Ashley Taylor Farhat-tomaszewski, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27351 Dequindre Rd, Madison Heights, MI 48071 Phone: 248-967-7715 |