Individual
MS. CHELSEY DIANA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2975 HIGHWAY 2 E, RUGBY, ND 58368-7801
(701) 776-5261
(701) 776-5448
Mailing address
2975 HIGHWAY 2 E, RUGBY, ND 58368-7801
(701) 776-5261
(701) 776-5448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219149-30
WI
163W00000X
Registered Nurse
R 201735-0
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R43972
ND
Other
Enumeration date
11/11/2016
Last updated
03/14/2025
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