Wyatt, Katie Marie

Wyatt, Katie Marie is an individual health care provider with primary practice located at 496 Shoup Ave W Suite E, Twin Falls ID 83301-5834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wyatt, Katie Marie can be contacted via phone (208) 733-2885.

Contact Information

Primary practice address
496 Shoup Ave W Suite E Twin Falls ID 83301-5834
Phone: (208) 733-2885
Fax: (208) 734-3352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1196A Idaho

Profile Details

NPI number 1114288891
LBN Legal business name Wyatt, Katie Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Jan 23rd, 2013 - about 11 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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