KATHLEEN WYNN (NPI# 1871870980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871870980 |
| Entity Type | Individual |
| Full Name | KATHLEEN WYNN |
| Other Name | KATHLEEN BADTEN |
| Credential | RN |
| Practice Address |
400 Apache Drive Whiteriver AZ 85941 |
| Mailing Address |
400 West Apache Dr Po Box 860 Whiteriver AZ 85941 |
| Practice Telephone | 9283384911 |
| Practice Fax Number | 9283383681 |
| Mailing Telephone | 9283384911 |
| Mailing Fax Number | 9283383681 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN151971 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770801391 | Kathleen Marie Wynn | Social Worker | 62 Shorefront Park, Norwalk, CT 06854-3716 | 2010-05-06 |
| Street Address |
400 APACHE DRIVE |
| City | WHITERIVER |
| State | AZ |
| Zip Code | 85941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816778 | Benjamin Robert Bishop | Pharmacist | 200 W Hospital Road, Whiteriver, AZ 85941 | 2019-11-25 |
| 1750922308 | Christal A Brewer | Specialist/Technologist | 1 N 1st Ave, Whiteriver, AZ 85941 | 2019-10-04 |
| 1154880862 | Ivan Atole IIi | Counselor | 302 W Ponderosa St, Whiteriver, AZ 85941 | 2019-03-13 |
| 1912456732 | Jamie Baha | Counselor | 302 West Ponderosa Street, White River, AZ 85941 | 2016-09-22 |
| 1891243382 | Donna Mauree Stevens | Counselor | 302 W. Ponderosa St., Whiteriver, AZ 85941 | 2016-09-14 |
| 1811445307 | Aura Josefina Ortiz | Counselor | 302 W Ponderosa Street, Whiteriver, AZ 85941 | 2016-09-14 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1528450855 | Carla Francis Turrentine | Social Worker | 249 West Ponderosa Street, Whiteriver, AZ 85941 | 2015-02-24 |
| 1477890390 | Muhammad Kanakri | Pharmacist | 200 West Whiteriver, Usphs Indian Hospital, Whitriver, AZ 85941 | 2013-01-11 |
| 1639452261 | Cynthia Chism | Registered Nurse | 300 W. Hospital Way, Whiteriver, AZ 85941 | 2011-09-20 |
| Find all providers in zip 85941 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639452261 | Cynthia Chism | Registered Nurse | 300 W. Hospital Way, Whiteriver, AZ 85941 | 2011-09-20 |
| 1750798666 | Patrick Eugene Conlisk | Registered Nurse | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2014-07-14 |
| 1306180617 | Dianna Jean Kelley | Registered Nurse | 200 W Hospital Dr, Whiteriver, AZ 85941-0860 | 2012-11-27 |
| 1073880563 | Carmelita Ruth Estenson | Registered Nurse | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2011-11-28 |
| 1023395191 | Sebastian Parker | Registered Nurse | 200 West Hospital Dr, Usphs Indian Hospital, Whiteriver, AZ 85941-0860 | 2011-11-03 |
| 1669757589 | Jonathan Slade Flitton | Registered Nurse | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2011-10-12 |
| 1457634644 | Justin Tafoya | Registered Nurse | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2011-09-23 |
| 1508146366 | Audrey J Kessay | Registered Nurse | 200 West Hospital Drive, Phn Department, Whiteriver, AZ 85941 | 2011-08-25 |
| 1033499918 | Alena George | Registered Nurse | 200 Hospital Drive, Whiteriver, AZ 85941-2063 | 2011-08-23 |
| 1811203755 | Chelsea J. Kleinmeyer | Registered Nurse | 200 W Hospital Dr, Whiteriver, AZ 85941-0860 | 2010-08-30 |
| Find all providers in WHITERIVER | ||||
| City | WHITERIVER |
| Zip Code | 85941 |
Please comment or provide details below to improve the information on KATHLEEN 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.