ELLIS WYNN IV, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1801625421

Practice Address

1139 PICKET FENCE DR
Evans, GA 30809

Phone: (229) 854-9517

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN286537 (GA)
Nurse Anesthetist, Certified Registered 367500000X Yes 267591 (MT)

Frequently Asked Questions

NPI 1801625421 is the National Provider Identifier for ELLIS WYNN IV, CRNA, a Nurse Anesthetist, Certified Registered provider located in Evans, GA. This NPI was enumerated on July 31, 2024.
ELLIS WYNN IV, CRNA practices at 1139 PICKET FENCE DR, Evans, GA 30809.

Quick Facts

NPI
1801625421
Type
Individual
Enumerated
Jul 31, 2024
Last Updated
Feb 3, 2026

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