WYATT MATTHEW GARDNER

MORGANTOWN, WV
NPI1720799091
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: WV  114813)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  114813)
363LC0200X Nurse Practitioner Critical Care Medicine
(Licence: WV  114813)
Enumeration Date2022-12-07
Last Update Date2023-07-19
Business Address
WYATT MATTHEW GARDNER AGACNP
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-6194
Mailing Address
WYATT MATTHEW GARDNER AGACNP
5000 MASON LN APT 5105
PITTSBURGH, PA 15205-5431
Phone number: