Individual provider · Type 1 NPI
Teresa Wyatt Kodiak, APN-CNP, FNP-C
Family Nurse Practitioner · Chicago, IL
NPI number
1902236912
Active
Practice location
611 W Roosevelt Rd
Chicago, IL 60607-4911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 219010786 (IL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1902236912
Teresa Wyatt Kodiak, APN-CNP, FNP-C's National Provider Identifier is 1902236912, issued on Nov 13, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Mar 24, 2017.