MEDICARE: KRYSTAL D WYNTER

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
1	163WC0400X	Case Management Registered Nurse	1172740	TX
2	163WP0200X	Pediatric Registered Nurse	1172740	TX
3	163WS0200X	School Registered Nurse	1172740	TX
4	163WW0101X	Ambulatory Women's Health Care Registered Nurse	1172740	TX
5	163W00000X	Registered Nurse	1172740	TX
6	163WD1100X	Peritoneal Dialysis Registered Nurse	1172740	TX
7	163WG0000X	General Practice Registered Nurse	1172740	TX
8	163WH0200X	Home Health Registered Nurse	1172740	TX
9	163WH1000X	Hospice Registered Nurse	1172740	TX
10	163WI0500X	Infusion Therapy Registered Nurse	1172740	TX
11	163WM0102X	Maternal Newborn Registered Nurse	1172740	TX

General Provider Information

NPI Number	:	1811860950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL D WYNTER

Provider Business Mailing Address
First Line	:	10630 EMORY PARK
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1893
Country	:	US
Telephone Number	:	850-603-0324
Fax Number	:

Provider Business Practice Location Address
First Line	:	10630 EMORY PARK
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1893
Country	:	US
Telephone Number	:	850-603-0324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	09/25/2025

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Directions to “ KRYSTAL D WYNTER ” Practice Location

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