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Mrs. Keisha Mautish Wynn
Licensed Practical Nurse in Syracuse, New York
NPI 1427351550

Keisha Mautish Wynn is a Licensed Practical Nurse based in Syracuse, NY. Keisha Mautish Wynn practices in Syracuse, NY. The NPI Number for Keisha Mautish Wynn is 1427351550 and holds a License No. 298022 (New York).

The current practice location address for Keisha Mautish Wynn is 943 Euclid Ave, Syracuse, NY and can be reached out via phone at 315-214-3091.

Location: 943 Euclid Ave, Syracuse, NY, 13210-2659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427351550
Provider Name
Keisha Mautish Wynn
Credential
Provider Entity Type
Individual
Gender
Female
Address
943 Euclid Ave, Syracuse, NY, 13210-2659
Phone Number
315-214-3091
Fax Number
Provider Enumeration Date
12/11/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
943 Euclid Ave
City
Syracuse
State
New York
Zip
13210-2659
Phone Number
315-214-3091
Fax Number
person
Provider Business Mailing Address Details
Address
943 Euclid Ave
City
Syracuse
State
New York
Zip
13210-2659
Phone Number
315-214-3091
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
298022 (New York)
Definition
An individual 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.
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