Individual
MRS. STEPHANIE L WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1919 OXMOOR RD, SUITE 111, BIRMINGHAM, AL 35209-3502
(800) 242-1131
(517) 787-7365
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-108167
AL
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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