Provider Demographics
NPI:1952678161
Name:WYNES, ALLISON E (ARNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:E
Last Name:WYNES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:E
Other - Last Name:NOLTING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:800-777-8442
Mailing Address - Fax:319-356-3949
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:800-777-8442
Practice Address - Fax:319-356-3949
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAL115005363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care