Individual provider · Type 1 NPI

Mary Wyman, FNP

Family Nurse Practitioner · Guerneville, CA

NPI number 1265449797 Active

Practice location

16319 Third Street
Guerneville, CA 95446

Fax (707) 869-1477

Mailing address

523 N Main St
Sebastopol, CA 95472-3406

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP13614 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1265449797

Mary Wyman, FNP's National Provider Identifier is 1265449797, issued on Aug 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Guerneville, CA. The record was last updated on Nov 9, 2007.