Individual provider · Type 1 NPI

Easton Wyatt

Student in an Organized Health Care Education/Training Program · Edwardsville, IL

NPI number 1861240988 Active

Practice location

6 Hairpin Dr
Edwardsville, IL 62026-1000

Call (618) 650-3956 Map

Mailing address

1968 Eden Cir
Cape Girardeau, MO 63701-2727

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861240988

Easton Wyatt's National Provider Identifier is 1861240988, issued on May 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edwardsville, IL. The record was last updated on May 13, 2024.