Gardner, Wyatt Matthew
Gardner, Wyatt Matthew is an sole proprietor health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506-1200. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Gardner, Wyatt Matthew can be contacted via phone (304) 598-6194.Contact Information
Primary practice address
1 Medical Center Dr
Morgantown WV 26506-1200
Phone: (304) 598-6194
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 114813 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 114813 | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 114813 | West Virginia |
Profile Details
NPI number | 1720799091 |
---|---|
LBN Legal business name | Gardner, Wyatt Matthew |
Credentials | AGACNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 7th, 2022 |
Last updated | Jul 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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