KATIE MARIE WYATT

TWIN FALLS, ID
NPI1114288891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1196A)
Enumeration Date2012-05-30
Last Update Date2013-01-23
Business Address
-- KATIE MARIE WYATT NP-C
496 SHOUP AVE W SUITE E
TWIN FALLS, ID 83301-5834
Phone number: 208-733-2885
Mailing Address
-- KATIE MARIE WYATT NP-C
496 SHOUP AVE W SUITE E
TWIN FALLS, ID 83301-5834
Phone number: 208-733-2885
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