Fallon E Wyatt

NPI #1093191819 in Marion, Arkansas

Provider Information

NPI Number
1093191819
Entity Type
Individual
Name
Fallon E Wyatt
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 4, 2015
Last Updated
Sep 17, 2020

Practice Location

Address
4001 COMMERCIAL CENTER DR STE 1
City
Marion
ZIP Code
72364-9616
Phone
(901) 496-0071

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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