Individual provider · Type 1 NPI
Mary M. Wyatt, GNP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1992889414
Active
Practice location
12121 Richmond Ave, SUITE#409
Houston, TX 77082-2432
Fax (281) 493-9728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 456399 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1992889414
Mary M. Wyatt, GNP's National Provider Identifier is 1992889414, issued on Oct 24, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.