Individual
KAITLYN CHRISTINE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2511 LOYOLA ST, LUBBOCK, TX 79415-1736
(806) 548-7066
Mailing address
2511 LOYOLA ST, LUBBOCK, TX 79415-1736
(806) 548-7066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1224752
TX
363L00000X
Nurse Practitioner
L8-0011038
DE
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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