Psychiatry & Neurology, Neurology
DONRAPHAEL WYNN M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1396188751 · enumerated 2013-04-16 · record updated 2025-11-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3340 E GOLDSTONE WAY, MERIDIAN, ID, 83642 (208) 302-4200 Fax (208) 302-4255 Google Maps Apple Maps OpenStreetMap
- Practice location 1072 N LIBERTY ST, STE 303, BOISE, ID, 83704 (208) 302-4200 Fax (208) 302-4255 Google Maps Apple Maps OpenStreetMap
Specialties
- Ophthalmology 207W00000X · License 9164199-1205 UT
- Ophthalmology, Neuro-ophthalmology 207WX0109X · License 9164199-1205 UT
- Psychiatry & Neurology, Neurology 2084N0400X · Primary · License M-14403 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 83704
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.