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Individual
MRS. TONNA KARENLYN WYATT
Active
Individual
MRS. TONNA KARENLYN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163204
NC
363LF0000X
Family Nurse Practitioner
Primary
5008461
NC
363LP2300X
Primary Care Nurse Practitioner
5008461
NC
Other
Enumeration date
03/08/2016
Last updated
01/24/2024
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