Individual
NANCY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Mailing address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1263552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762423900
—
FL
Enumeration date
01/19/2007
Last updated
09/22/2011
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