Wyatt, Celine Ann

Wyatt, Celine Ann is an individual health care provider with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wyatt, Celine Ann can be contacted via phone (919) 350-1570.

Contact Information

Primary practice address
23 Sunnybrook Rd Raleigh NC 27610-1855
Phone: (919) 350-1570
Fax: (919) 790-0108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R17970 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5005905 North Carolina

Profile Details

NPI number 1720120298
LBN Legal business name Wyatt, Celine Ann
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 19th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1720120298 NPPES
Other 607156012 DEPT OF LABOR
Other CS95AA97381801 DEPT OF LABOR
Other V8140012 DEPT OF LABOR
MEDICAID 041200700 DEPT OF LABOR

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