| Makayla Marie Wynn, APRN, FNP-C | |
|
711 Onyx St, Kemmerer, WY 83101-3214 | |
| (307) 877-4401 | |
| (307) 877-9769 |
| Full Name | Makayla Marie Wynn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 711 Onyx St, Kemmerer, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457135899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 52717 (Wyoming) | Primary |
| Entity Name | South Lincoln Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1972743011 PECOS PAC ID: 2961490057 Enrollment ID: O20090316000211 |
| Entity Name | Senior Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134721228 PECOS PAC ID: 6305260746 Enrollment ID: O20210511001780 |
| Mailing Address | Practice Location Address |
|---|---|
| Makayla Marie Wynn, APRN, FNP-C 419 Laramie St, Evanston, WY 82930-9104 Ph: (307) 679-5287 | Makayla Marie Wynn, APRN, FNP-C 711 Onyx St, Kemmerer, WY 83101-3214 Ph: (307) 877-4401 |
Melissa A Foster, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4496 Fax: 307-877-9769 | |
Kyla Ward Franklin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 832-270-9456 |