Individual
ASHLEY J WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 ARCH ST, STE. G2, AKRON, OH 44304-1429
(330) 375-4100
(330) 375-4097
Mailing address
75 ARCH ST, STE. G2, AKRON, OH 44304-1429
(330) 375-4100
(330) 375-4097
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
RN327092
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP11770
OH
Other
Enumeration date
11/03/2010
Last updated
06/12/2012
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