Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Christopher Wynne

Individual provider Medical Physician Assistant · NPI 1356985949

Matthew Christopher Wynne is a Medical Physician Assistant in Glen Allen, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019

Practice location Address checks out

2151 Old Brick Rd
Glen Allen, VA 23060-5837
Phone: (919) 610-1014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110008094 (VA)

Record details

NPI number1356985949
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address2151 Old Brick Rd, Glen Allen, VA 23060-5837

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