BEVERLY WYNNE (APRN) – Critical Care Neonatal Nurse Practitioner, NPI 1083012561

Critical Care Neonatal Nurse Practitioner

BEVERLY WYNNE (APRN) is a healthcare provider. based in Kennesaw, Georgia. specializing in Critical Care Neonatal Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. RN079004 (GA). The NPI Number for BEVERLY WYNNE (APRN) is 1083012561

Main info

Female

Name

BEVERLY WYNNE (APRN)

NPI

1083012561

Phone

(770) 424-6172

Address

4120 BRIGADE TRL NW

Enumeration Date

15 December 2014

Last Update Date

15 December 2014

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for BEVERLY WYNNE (APRN)

4120 BRIGADE TRL NW
KENNESAW, GA 301527722
Phone: (770) 424-6172
Type: Mailing
677 CHURCH ST NE
MARIETTA, GA 300601101
Phone: (770) 792-9808
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30152)

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Reviews

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Frequently asked questions

What is the registry number for BEVERLY WYNNE (APRN)?

The registry entry for BEVERLY WYNNE (APRN) shows NPI 1083012561.

Quick check: is BEVERLY WYNNE (APRN) active?

Public NPPES data shows BEVERLY WYNNE (APRN) with an active NPI status right now.

Which specialty label fits BEVERLY WYNNE (APRN)?

NPPES ties BEVERLY WYNNE (APRN) to Critical Care Neonatal Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to BEVERLY WYNNE (APRN)?

BEVERLY WYNNE (APRN) is associated with Kennesaw, Georgia in the same public data insurers reference.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.