MYLLISSA WYATT, NP

Nurse Practitioner - Family

Active Individual
NPI: 1730439266

Practice Address

403 RIVERFRONT DR
Salmon, ID 83467

Phone: (208) 742-1110

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes NP-1202A (ID)
Nurse Practitioner 363L00000X No 1202A (ID)

Frequently Asked Questions

NPI 1730439266 is the National Provider Identifier for MYLLISSA WYATT, NP, a Nurse Practitioner - Family provider located in Salmon, ID. This NPI was enumerated on September 12, 2012.
MYLLISSA WYATT, NP practices at 403 RIVERFRONT DR, Salmon, ID 83467.

Quick Facts

NPI
1730439266
Type
Individual
Enumerated
Sep 12, 2012
Last Updated
Jan 22, 2025

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