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Leslie Wyatt
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1194269274

Leslie Wyatt is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Leslie Wyatt practices in Philadelphia, PA. The NPI Number for Leslie Wyatt is 1194269274 and holds a License No. SP016987 (Pennsylvania).

The current practice location address for Leslie Wyatt is 1020 Sansom St, Philadelphia, PA and can be reached out via phone at 215-955-6844.

Location: 1020 Sansom St, Philadelphia, PA, 19107-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194269274
Provider Name
Leslie Wyatt
Credential
Provider Entity Type
Individual
Gender
Female
Address
1020 Sansom St, Philadelphia, PA, 19107-5002
Phone Number
215-955-6844
Fax Number
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1020 Sansom St
City
Philadelphia
State
Pennsylvania
Zip
19107-5002
Phone Number
215-955-6844
Fax Number
person
Provider Business Mailing Address Details
Address
1020 Sansom St
City
Philadelphia
State
Pennsylvania
Zip
19107-5002
Phone Number
215-955-6844
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP016987 (Pennsylvania)
Definition
Definition to come...
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