Healthcare Provider Details

I. General information

NPI: 1942136098
Provider Name (Legal Business Name): BRYNJA CHEN WINNAN PA-C
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOX 104027
DURHAM NC
27708-0001
US

IV. Provider business mailing address

41 LORRIE LN
WEST WINDSOR NJ
08550-5112
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-7255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: