Individual provider · Type 1 NPI

Lauren Todt Wyatt, CRNP

Pediatric Nurse Practitioner · Johnson City, TN

NPI number 1194167882 Active

Practice location

400 N State Of Franklin Rd Fl 1
Johnson City, TN 37604-6035

Call (423) 431-3950 Map

Fax (423) 431-3958

Mailing address

PO Box 699
Mountain Home, TN 37684-0699

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X1-113979 (AL)
Pediatric Nurse Practitioner Primary 363LP0200XAPN26937 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194167882

Lauren Todt Wyatt, CRNP's National Provider Identifier is 1194167882, issued on Jul 23, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Johnson City, TN. The record was last updated on Feb 26, 2024.