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Contact Information

TRACY A MOONEY WYNDER, RN
207 EVERHART ST
DUPONT, PA18641-2107
 Phone: 570-262-8534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Registered Nurse

163W00000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for TRACY A MOONEY WYNDER · (Female)

NPI Number 1770890006
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/08/2010
Last updated 09/08/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # RN526993L
  • PA Medicaid RN526993L
  • PA Other RN526993L RN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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