Individual
ALICIA R WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W 1ST ST, SAINT FRANCIS, KS 67756-3540
(785) 332-2104
(785) 332-3255
Mailing address
210 W 1ST ST, SAINT FRANCIS, KS 67756-3540
(785) 332-2104
(785) 332-3255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557204
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004530900001
—
KS
Enumeration date
09/06/2013
Last updated
05/09/2025
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