DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AUDREA H WYNN II M.D.

MEDICARE: AUDREA H WYNN II M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101043925VA
2207X00000XOrthopaedic Surgery Physician0101043925VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164409504
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREA H WYNN II M.D.
Provider Business Mailing Address
First Line : 1460 UNIVERSITY DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 540-665-5430
Fax Number : 540-665-5576
Provider Business Practice Location Address
First Line : 1460 UNIVERSITY DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 540-665-5430
Fax Number : 540-665-5576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 06/27/2025

Similar Medicare Providers

1366394322 — AMY K HEFFELFINGER
Practice Location Address:
1460 UNIVERSITY DR
WINCHESTER, VA
22601-5100
Practice Phone: 540-665-4500
Practice Fax:
1215177142 — MS. KIMBERLY ANNE PRITCHARD PHD, ATC
Practice Location Address:
1460 UNIVERSITY DR , DIVISION OF ATHLETIC TRAINING
WINCHESTER, VA
22601-5100
Practice Phone: 540-454-7376
Practice Fax:
1619428612 — MARAH JONES ATC
Practice Location Address:
1460 UNIVERSITY DR
WINCHESTER, VA
22601-5100
Practice Phone: 540-542-6505
Practice Fax:
1154885408 — APRIL MICHELLE REED MSAT, LAT, ATC
Practice Location Address:
1460 UNIVERSITY DR
WINCHESTER, VA
22601-5100
Practice Phone: 540-545-7377
Practice Fax:
1689231912 — SHENANDOAH UNIVERSITY
Practice Location Address:
1460 UNIVERSITY DR
WINCHESTER, VA
22601-5100
Practice Phone: 540-665-4566
Practice Fax:
1659062719 — KAISHA MARTINEZ PEREIRA PHYSICIAN ASSISTANT
Practice Location Address:
1460 UNIVERSITY DR
WINCHESTER, VA
22601-5100
Practice Phone: 540-665-4500
Practice Fax:

Directions to “ AUDREA H WYNN II M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.