BRENDAN P WYNNE

NORTHEAST BEHAVIORAL HEALTH CORPORATION

Dr BRENDAN P WYNNE is a male medical professional, specializing in Nurse Practitioner. He graduated in 2013.

Contact

NORTHEAST BEHAVIORAL HEALTH CORPORATION

800 CUMMINGS CTR
266T
BEVERLY
MA
019156172

Tel: 9789211190

BRENDAN P WYNNE Information

Npi 1922431063
Pac Id 9739315516
Professional Enrollment Id I20131127000359
Last Name WYNNE
First Name BRENDAN
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHEAST BEHAVIORAL HEALTH CORPORATION
Group Practice Pac Id 0446155808
Number Of Group Practice Members 33
Line 1 Street Address 800 CUMMINGS CTR
Line 2 Street Address 266T
Marker Of Address Line 2 Suppression
City BEVERLY
State MA
Zip Code 019156172
Phone Number 9789211190
Hospital Affiliation Ccn 1 220033
Hospital Affiliation Lbn 1 NORTHEST HOSPITAL CORPORATION
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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