Jeffery Dale Wyatt, CRNA

NPI #1134271125 in Winnfield, Louisiana

Provider Information

NPI Number
1134271125
Entity Type
Individual
Name
Jeffery Dale Wyatt, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jan 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
301 W BOUNDARY AVE
ZIP Code
71483-3427
Phone
(318) 648-3072

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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