Individual
MS. LINDA RAE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
127 ROUTE 28, OSSIPEE, NH 03864-7300
(603) 539-7552
(603) 539-6186
Mailing address
362 KNIGHTS HILL RD, SWEDEN, ME 04040-5512
(207) 647-3634
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
025749-23-05
NH
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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