Erica Larae Wynn
M.D. | Pediatrics | Female
Erica Larae Wynn, M.D. is a Woodbridge, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Erica Larae Wynn is
14139 Potomac Mills Rd, Woodbridge, Virginia - 22192-4644. She can be contacted on phone at
703-490-7740.
Erica Larae Wynn is a sole proprietor of her business.
NPI number (Unique professional ID) for Erica Larae Wynn is
1063585321 which was assigned by NPPES on 16 Nov, 2006 and it was last updated on 08 Jan, 2008.
Erica Larae Wynn license number is
0101236466 for Pediatrics (208000000X) in Virginia.
Erica Larae Wynn is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Erica Larae Wynn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Erica Larae Wynn |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Erica Larae Wynn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14139 Potomac Mills Rd
Woodbridge, VA, 22192-4644
United States |
|---|
| Phone Number : | 703-490-7740 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063585321 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 16 Nov, 2006 |
|---|
| Last Updated On : | 08 Jan, 2008 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Erica Larae Wynn are as mentioned. Primary taxonomy code for Erica Larae Wynn, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD035456 | DC |
| 208000000X | Pediatrics | Yes | 0101236466 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Erica Larae Wynn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5-021-162-2 | Other | | USMLE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 14139 Potomac Mills Rd
Woodbridge, VA, 22192-4644
United States |
|---|
| Phone Number : | 703-490-7740 |
|---|
Business Location:
Patients can refer following map for directions to
Erica Larae Wynn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.