Wynne, Amy Simmons
Wynne, Amy Simmons is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr Hospital Medicine Program, Hammond LA 70403-1434. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wynne, Amy Simmons can be contacted via phone (985) 230-3066.Contact Information
Primary practice address
15790 Paul Vega Md Dr Hospital Medicine Program
Hammond LA 70403-1434
Phone: (985) 230-3066
Fax: (985) 230-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP06816 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP06816 | Louisiana |
Profile Details
| NPI number | 1710245691 |
|---|---|
| LBN Legal business name | Wynne, Amy Simmons |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Sep 25th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710245691 | NPPES |
| Louisiana | MEDICAID | 2191462 |
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