Patricia Ruth Gwynn, RN
Individual provider Active NPI Registered Nurse · West Point, NY
NPI 1104463090 · NPPES record last updated Dec 10, 2019
Key facts
- NPI
- 1104463090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 437487 (NY)
- Practice address
- 900 Washington Rd
West Point, NY 10996-1109 - Phone
- (845) 938-3511
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 437487 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 437487 | NY | Yes |
Addresses
Primary practice location
900 Washington Rd
West Point, NY 10996-1109
Mailing address
PO Box 221
West Point, NY 10996-0221
Phone (845) 522-7573
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | . | Direct | |
| CONNECT URL | . | Direct |
Other providers in West Point, NY
- Natalya Goryunova
- Sarah E Greb
- Roman Greenspan
- Jessica Lynn Guglielmo
- Amit Gupta
- Caroline Miller Harris
- Clio Vardopoulos Hatziyannakis
- Amy Claire Hay
- Deborah Courtney Hayes
- Emily Jo Hege
All providers in West Point, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.