Individual
MR. WYATT GERBRACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
880 OAK PARK BLVD STE 201, ARROYO GRANDE, CA 93420-1821
(805) 473-8346
Mailing address
1615 LONGBRANCH AVE, GROVER BEACH, CA 93433-2557
(805) 602-1112
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95033182
CA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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