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
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5834
- Phone
- (208) 733-2885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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