Individual
SHARON RENEE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
341 TRANE DR, KNOXVILLE, TN 37919-6053
(865) 588-0880
Mailing address
341 TRANE DR, KNOXVILLE, TN 37919-6053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
88764
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509614
—
TN
Enumeration date
04/24/2008
Last updated
04/15/2019
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