RENEE WYNN (NPI# 1053930958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053930958 |
| Entity Type | Individual |
| Full Name | RENEE WYNN |
| Credential | CRNP |
| Practice Address |
5401 Old York Rd Philadelphia PA 19141-3030 |
| Mailing Address |
6912 Chester Ave Philadelphia PA 19142-1209 |
| Practice Telephone | 2154568220 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP021240 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 OLD YORK RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192739 | Walter L Gerber | Urology | 5401 Old York Rd, Suite 200, Philadelphia, PA 19141-3030 | 2005-08-26 |
| 1548885007 | Sagar Vinay Desai | Surgery | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2020-06-10 |
| 1598240012 | Jill Kile | Internal Medicine | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2018-10-01 |
| 1841788957 | Michele Butler | Registered Nurse | 5401 Old York Rd, Philadelphia, PA 19141 | 2018-04-24 |
| 1245755495 | Moayad Al Sona | Internal Medicine | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2017-08-09 |
| 1952852196 | Sung Min Lee | Physician Assistant | 5401 Old York Rd, Klein Building - Suite 505, Philadelphia, PA 19141-3030 | 2016-10-24 |
| 1285185751 | Einstein Practice Plan | Physician Assistant | 5401 Old York Rd, Klein Building-suite 505, Philadelphia, PA 19141-3030 | 2016-10-20 |
| 1154879906 | Daniella Zolotnitsky | Dietitian, Registered | 5401 Old York Rd, Klein 505, Philadelphia, PA 19141-3030 | 2016-09-21 |
| 1780049445 | Danielle Curran | Nurse Practitioner | 5401 Old York Rd, Suite 101, Philadelphia, PA 19141-3030 | 2015-12-23 |
| 1750763223 | Michelle Kostelansky | Physician Assistant | 5401 Old York Rd, Klein Building Suite 510, Philadelphia, PA 19141-3030 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588585 | Jaimie Sholinsky | Nurse Practitioner | 5401 Old York Rd Bldg Floor3, Philadelphia, PA 19141-3030 | 2019-09-30 |
| 1366900490 | Leigh Ferguson | Nurse Practitioner | 210 S 25th St Unit 1402, Philadelphia, PA 19103-5886 | 2019-03-07 |
| 1306356498 | Donna Michelle Depalmo-wilson | Nurse Practitioner | 700 Spruce St Fl 2, Philadelphia, PA 19106-4022 | 2017-10-03 |
| 1295124642 | Morgan Finch Bartlett | Nurse Practitioner | 800 Walnut St Fl 15, Philadelphia, PA 19107-5176 | 2015-01-22 |
| 1073941308 | Dacey Boinaiv Stratton | Nurse Practitioner | 1700 South St, Philadelphia, PA 19146-1529 | 2013-10-23 |
| 1851453633 | Charlene Brown | Nurse Practitioner | 1720 South Broad Street, City of Philadelphia Health Department, Philadelphia, PA 19145 | 2006-12-15 |
| 1689693160 | Iris S Wolfson | Nurse Practitioner | 133 W Phil Ellena St, Philadelphia, PA 19119-2717 | 2006-07-18 |
| 1568427409 | Donna L Brian | Nurse Practitioner | 1035 W Berks St, Philadelphia, PA 19122-1909 | 2006-04-20 |
| 1063408219 | Michelle Eileen Woltz | Nurse Practitioner | 229 Arch St, Philadelphia, PA 19106-1915 | 2005-09-23 |
| 1124635818 | Andrea Silver | Nurse Practitioner | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2020-09-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on RENEE WYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.