Provider Demographics
NPI:1841068749
Name:ROPER, WYNTER (RN)
Entity type:Individual
Prefix:
First Name:WYNTER
Middle Name:
Last Name:ROPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 SPRINGLAKE CIR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-4432
Mailing Address - Country:US
Mailing Address - Phone:513-978-7169
Mailing Address - Fax:
Practice Address - Street 1:813 TROY ST DAYTON, OH 45404
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-4432
Practice Address - Country:US
Practice Address - Phone:937-982-1500
Practice Address - Fax:937-982-1600
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH506403163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health