Individual
SHARLA LOUISE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 310010698, PASADENA, CA 91110-0698
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
698560
CA
163W00000X
Registered Nurse
RN167505
AZ
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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