Individual
ANASTASIA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4862
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021034013
MO
Other
Enumeration date
09/08/2021
Last updated
03/05/2023
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