Individual provider · Type 1 NPI
Mia Wyatt, CNM
Obstetrics & Gynecology Nurse Practitioner · Peachtree Corners, GA
NPI number
1497206361
Active
Practice location
5185 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-6543
Mailing address
10257 Minion Ct
Alpharetta, GA 30022-6320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN262082 (GA) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | RN262082 (GA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1497206361
Mia Wyatt, CNM's National Provider Identifier is 1497206361, issued on Oct 17, 2016. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Peachtree Corners, GA. The record was last updated on Oct 17, 2016.