Andrea Lynn Wynn, R.N.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

106023 Issued in TN

Practice address

1801 S Holtzclaw Ave
Chattanooga, TN 37404-4806

Phone

(423) 634-3886

NPI assigned

Jul 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679771554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CLEARLAKE DR W",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372174501",
            "telephone_number": "615-942-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S HOLTZCLAW AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374044806",
            "telephone_number": "423-634-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TN",
            "license": "106023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Caleb Wyatt, MD
• Kimberly Latrese Wyatt, PTA
• Melanie Leigh Wyatt
• Nathan Brantley Wyatt, M.D.
• Rebecca Wykle
• Anjanette Raynata Wynn, PT
• Kimberly Rae Wynn
• Y & S Transport
• Arpita S Yadav, MD
• Jaime S Yaich, DNP, FNP-BC, APRN

• Medical-Surgical Registered Nurse in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Medical-Surgical Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.