FALLON WYATT
Nurse Practitioner - Family
Active
Individual
NPI: 1093191819
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | A004461 (AR) |
Frequently Asked Questions
NPI 1093191819 is the National Provider Identifier for FALLON WYATT, a Nurse Practitioner - Family provider located in Marion, AR. This NPI was enumerated on August 4, 2015.
FALLON WYATT practices at 4001 COMMERCIAL CENTER DR STE 1, Marion, AR 72364.
Quick Facts
- NPI
- 1093191819
- Type
- Individual
- Enumerated
- Aug 4, 2015
- Last Updated
- Sep 17, 2020
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