SANDRA M. WYNN NP
NPI 1013950823
Nurse Practitioner in Princeton, WV

Active since June 13, 2006
122 12TH ST, PRINCETON, WV 24740(304) 487-7000 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra M. Wynn Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA M. WYNN NP (NPI 1013950823) is an individual nurse practitioner in Princeton, West Virginia, licensed in West Virginia (52866) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013950823
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA M. WYNNCredential: NP
Location Address122 12TH STPrinceton, WV 24740
Mailing AddressPo Box 634715Cincinnati, OH 45263-0001
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateNovember 9, 2007
NPI 1013950823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WV · 52866
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
122 12TH ST, Princeton, WV 24740

Other Identifiers 5

OtherP00289697WV · Medicare Railroad
Medicaid3810003716WV
Medicare ID-Type UnspecifiedWYNP11122WV · Mwv
Medicare UPINP66777
Other3810003716WV · Blue Cross

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
122 12TH ST
PRINCETON, WV 24740
Physician Assistant
122 12TH ST
PRINCETON, WV 24740
Peer Specialist
122 12TH ST
PRINCETON, WV 24740
Nurse Practitioner (Family)
122 12TH ST
PRINCETON, WV 24740
Hospitalist
122 12TH ST
PRINCETON, WV 24740
Anesthesiology
122 12TH ST
PRINCETON, WV 24740
Physical Therapist
122 12TH ST
PRINCETON, WV 24740
Physical Therapist
122 12TH ST
PRINCETON, WV 24740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Wynn's NPI number?

The NPI number for Sandra Wynn is 1013950823. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Sandra Wynn located?

Sandra Wynn practices at 122 12th St, Princeton, WV 24740. The listed phone number is (304) 487-7000.

What is Sandra Wynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Sandra Wynn was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.