Individual provider · Type 1 NPI
Diane Wyatt, MSN, RN, AGCNS-BC
Gerontology Clinical Nurse Specialist · Wyandotte, MI
NPI number
1376110080
Active
Practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Mailing address
11776 Commerce Rd
Brighton, MI 48114-9650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 2018079552 (MI) |
Gerontology Clinical Nurse Specialist: Definition to come...
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About NPI 1376110080
Diane Wyatt, MSN, RN, AGCNS-BC's National Provider Identifier is 1376110080, issued on Jun 10, 2021. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Wyandotte, MI. The record was last updated on Jun 10, 2021.