Laneta T Wynn, NURSEPRACTITIONER
Laneta T Wynn, NURSEPRACTITIONER is a Nurse Practitioner in Burbank, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
2501 W Burbank BlvdBurbank, CA 91505-2347
Phone: (877) 929-6863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 95030436 (CA) |
|---|
Record details
| NPI number | 1831907765 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | December 23, 2024 |
| Last updated in NPPES | September 10, 2025 |
| Certification date | September 10, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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