| NPI | 1750471249 |
|---|---|
| Former Name | STEPHANIE N WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR A001493) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1176407) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2026-03-05 |