Individual
MONICA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2054 30TH AVE, FAIRBANKS, AK 99701-7316
(907) 455-4555
(833) 941-2349
Mailing address
605 CHIEF THOMAS DR, FAIRBANKS, AK 99709-4848
(907) 455-4555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
165402
AK
Other
Enumeration date
07/05/2016
Last updated
05/29/2025
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