Wyatt, Julie Victoria

Wyatt, Julie Victoria is an individual health care provider with primary practice located at 82-68 164Th St , Jamaica NY 11432-1121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wyatt, Julie Victoria can be contacted via phone (718) 883-3225.

Contact Information

Primary practice address
82-68 164Th St Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381013 New York

Profile Details

NPI number 1386740611
LBN Legal business name Wyatt, Julie Victoria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386740611 NPPES
New York MEDICAID 00246075

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