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MRS. KEISHA MAUTISH WYNN
NPI 1427351550
Licensed Practical Nurse in Syracuse, NY

Active since December 11, 2010
943 EUCLID AVE, SYRACUSE, NY 13210(315) 214-3091 Get Directions Write a Review

NPPES record last updated: December 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Keisha Mautish Wynn NPPES

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

MRS. KEISHA MAUTISH WYNN (NPI 1427351550) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (298022) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1427351550
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KEISHA MAUTISH WYNN
Location Address943 EUCLID AVESyracuse, NY 13210-2659
Mailing Address943 Euclid AveSyracuse, NY 13210-2659 · (315) 214-3091
Phone(315) 214-3091
Sole ProprietorYes
Enumeration DateDecember 11, 2010
✔ NPI 1427351550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 298022
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
943 EUCLID AVE, Syracuse, NY 13210
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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 Keisha Wynn's NPI number?

The NPI number for Keisha Wynn is 1427351550. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Where is Keisha Wynn located?

Keisha Wynn practices at 943 Euclid Ave, Syracuse, NY 13210. The listed phone number is (315) 214-3091.

What is Keisha Wynn's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Keisha Wynn was last updated on December 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.