Katie Marie Wyatt, NP-C

NPI #1114288891 in Twin Falls, Idaho

Provider Information

NPI Number
1114288891
Entity Type
Individual
Name
Katie Marie Wyatt, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
May 30, 2012
Last Updated
Jan 23, 2013

Practice Location

Address
496 SHOUP AVE W
Address 2
SUITE E
State
Idaho
ZIP Code
83301-5834
Phone
(208) 733-2885

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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