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Individual
DR. AMANDA WYATT
Active
Individual
DR. AMANDA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CNS,BC-ADM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
99497
OK
163WD0400X
Diabetes Educator Registered Nurse
R0099497
OK
163WG0000X
General Practice Registered Nurse
R0099497
OK
364S00000X
Clinical Nurse Specialist
2016019386
OK
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2016019386
OK
364SA2200X
Adult Health Clinical Nurse Specialist
R0099497
OK
364SG0600X
Gerontology Clinical Nurse Specialist
2016019386
OK
Other
Enumeration date
08/01/2012
Last updated
07/11/2023
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