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Mrs. Lauren Todt Wyatt, CRNP
Pediatric Nurse Practitioner in Johnson City, Tennessee
NPI 1194167882

Lauren Todt Wyatt is a Pediatric Nurse Practitioner based in Mountain Home, TN and is specialized in Pediatrics. Lauren Todt Wyatt practices in Johnson City, TN and has the professional credentials of CRNP. The NPI Number for Lauren Todt Wyatt is 1194167882 and holds a License No. 1-113979 (Tennessee).

The current practice location address for Lauren Todt Wyatt is 400 N State Of Franklin Rd Fl 1, Johnson City, TN and can be reached out via phone at 423-431-3950 and via fax at 423-431-3958.

Location: 400 N State Of Franklin Rd Fl 1, Johnson City, TN, 37684-0699
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Provider Profile Details
NPI Number
1194167882
Provider Name
Lauren Todt Wyatt
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
400 N State Of Franklin Rd Fl 1, Johnson City, TN, 37684-0699
Phone Number
423-431-3950
Fax Number
423-431-3958
Provider Enumeration Date
07/23/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-113979 05 AL
Q055437 05 TN
institution
Provider Business Practice Location Address Details
Address
400 N State Of Franklin Rd Fl 1
City
State
Zip
37604-6035
Phone Number
423-431-3950
Fax Number
423-431-3958
person
Provider Business Mailing Address Details
Address
400 N State Of Franklin Rd Fl 1
City
State
Zip
37604-6035
Phone Number
423-431-3950
Fax Number
423-431-3958
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1-113979 (Alabama)
Definition
Definition to come...
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