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Myllissa M. Wyatt, NP
Nurse Practitioner in Salmon, Idaho
NPI 1730439266

Myllissa M. Wyatt is a Nurse Practitioner based in Salmon, ID. Myllissa M. Wyatt practices in Salmon, ID and has the professional credentials of NP. The NPI Number for Myllissa M. Wyatt is 1730439266 and holds a License No. NP-1202A (Idaho).

The current practice location address for Myllissa M. Wyatt is 403 Riverfront Dr, Salmon, ID and can be reached out via phone at 208-742-1110 and via fax at 208-742-1120.

Location: 403 Riverfront Dr, Salmon, ID, 83467-5162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730439266
Provider Name
Myllissa M. Wyatt
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
403 Riverfront Dr, Salmon, ID, 83467-5162
Phone Number
208-742-1110
Fax Number
208-742-1120
Provider Enumeration Date
09/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IDTPID011077 05 ID
institution
Provider Business Practice Location Address Details
Address
403 Riverfront Dr
City
Salmon
State
Idaho
Zip
83467-5162
Phone Number
208-742-1110
Fax Number
208-742-1120
person
Provider Business Mailing Address Details
Address
403 Riverfront Dr
City
Salmon
State
Idaho
Zip
83467-5162
Phone Number
208-742-1110
Fax Number
208-742-1120
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1202A (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-1202A (Idaho)
Definition
Definition to come...
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