Individual
CAROLYN MARIE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-7958
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-7958
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
19773
CA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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