Physician Compare National (NPI:1952373409)

HEALTHCARE PROVIDER: ALANCIA CHRISTINE WYNN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952373409
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961579917
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200109000583
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WYNN
	Individual professional last name
Provider First Name	ALANCIA
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	316 HARRISON ST SE
	Group Practice or individual's line 1 address
City	LEESBURG
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	201753719
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIRGINIA HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490063
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INOVA FAIRFAX HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y