Individual
MONICA ANN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
512 ANSLEY BLVD APT E, ALEXANDRIA, LA 71303-2291
(318) 321-8887
Mailing address
512 ANSLEY BLVD APT E, ALEXANDRIA, LA 71303-2291
(318) 321-8887
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
116043
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
00000000
LA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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