Individual
MRS. CAROL ANN WYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
238 INNIS AVE, POUGHKEEPSIE, NY 12603-1010
(845) 452-2597
Mailing address
238 INNIS AVE, POUGHKEEPSIE, NY 12603-1010
(845) 452-2597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
674139-1
NY
Other
Enumeration date
09/07/2013
Last updated
09/07/2013
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