Individual provider · Type 1 NPI
Carol Ann Wyatt, RN
Community Health Registered Nurse · Estacada, OR
NPI number
1619043395
Active
Practice location
402 SE 3rd Ave
Estacada, OR 97023-8563
Fax (503) 630-6787
Mailing address
PO Box 514
Estacada, OR 97023-0514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 000032351RN (OR) |
Community Health Registered Nurse: Definition to come...
About NPI 1619043395
Carol Ann Wyatt, RN's National Provider Identifier is 1619043395, issued on Nov 27, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Estacada, OR. The record was last updated on Jan 7, 2010.