NICHOLAS T. WYNN – NPI #1184510703
Specialist/Technologist, Other

NICHOLAS WYNN is a technologist located in TREMONTON, UT. NPPES has assigned the NPI number 1184510703 to NICHOLAS WYNN on June 18, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS WYNN below.

NPI Profile for
NICHOLAS T. WYNN

NPI Number
1184510703
Enumeration Date

(about a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS T. WYNN
Primary location
9825 N 10800 W
TREMONTON, UT 84337-9222
Phone: (801) 643-5057 Fax: (866) 311-6889
Mailing address
1503 JUNE DR
FARMINGTON, UT 84025-2827
Phone: (801) 512-4978 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.