Individual
PAMELA R WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM WHCNP
Contact information
Practice address
117 MEDICAL CIR, SULPHUR SPRINGS, TX 75482-2138
(903) 885-8471
(903) 439-6492
Mailing address
3900 JOE RAMSEY BLVD E STE E, GREENVILLE, TX 75401-7770
(903) 454-1722
(903) 454-1750
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
629757
TX
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
629757
CERTIFIED NURSE PRACTIONER
TX
Enumeration date
05/05/2011
Last updated
12/28/2022
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