Provider Demographics
NPI:1548927353
Name:WYNDER, BRITTNIE
Entity type:Individual
Prefix:
First Name:BRITTNIE
Middle Name:
Last Name:WYNDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15405 WINDSONG LN
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1134
Mailing Address - Country:US
Mailing Address - Phone:703-439-7582
Mailing Address - Fax:
Practice Address - Street 1:15405 WINDSONG LN
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-1134
Practice Address - Country:US
Practice Address - Phone:703-439-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health