Derek Wynn, PA

Individual Active
NPI 1043689441
Medical Physician Assistant Grangeville, ID

Derek Wynn, PA holds NPI 1043689441, with a primary taxonomy of medical physician assistant and a practice location in Grangeville, ID. The number was issued on September 16, 2015 and the NPPES record was last updated on September 16, 2015.

This record hasn't been updated in NPPES since 2015. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA-1276 (ID)

Practice location

607 W Main Street
Grangeville, ID 83530
Phone: (208) 983-1700

Local context

Active NPPES records list 4 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 3 of them within 10 miles.

The same primary taxonomy is listed by 400 in Idaho and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Derek R Wynn
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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