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NPI Code Detail

MEDICARE: MS. VYN ANN WAYNE NP

MEDICARE: MS. VYN ANN WAYNE NP
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
1363LW0102XWomen's Health Nurse PractitionerRN371189CA

General Provider Information

NPI Number : 1942297296
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VYN ANN WAYNE NP
Provider Business Mailing Address
First Line : 4013 HALLISEY CT
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-5920
Country : US
Telephone Number : 661-832-8655
Fax Number :
Provider Business Practice Location Address
First Line : 815 MARTIN LUTHER KING JR BLVD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-1365
Country : US
Telephone Number : 661-322-3905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 01/17/2012

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