Terrie L Wynn, LPN is a
Licensed Practical Nurse based in Davenport, Iowa. Terrie L Wynn is licensed to practice in New York (license number 220930) and her current practice location is
2202 E 48th St., Davenport, Iowa. She can be reached at her office (for appointments etc.) via phone at
(563) 343-1810.
NPI number for Terrie L Wynn is 1033529524 and her current mailing address is 2202 E 48th St., Davenport, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033529524.
Provider's Profile
| Full Name | Terrie L Wynn |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 2202 E 48th St., Davenport, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033529524
- Provider Enumeration Date: 05/06/2014
- Last Update Date: 09/28/2020
Medical Identifiers
Medical identifiers for Terrie L Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033529524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 220930 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terrie L Wynn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Terrie L Wynn, LPN
2202 E 48th St.,
Davenport, IA 52807-1214
Ph: (563) 343-1810 | Terrie L Wynn, LPN
2202 E 48th St.,
Davenport, IA 52807-1214
Ph: (563) 343-1810 |
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