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Mr. Elihu Daniel Wyatt IV, AGACNP
Gerontology Nurse Practitioner in Las Vegas, Nevada
NPI 1811667504

Elihu Daniel Wyatt IV is a Gerontology Nurse Practitioner based in Las Vegas, NV and is specialized in Gerontology. Elihu Daniel Wyatt IV practices in Las Vegas, NV and has the professional credentials of AGACNP. The NPI Number for Elihu Daniel Wyatt IV is 1811667504 and holds a License No. 845332 (Nevada).

The current practice location address for Elihu Daniel Wyatt IV is 1180 N Town Center Dr Ste 100, Las Vegas, NV and can be reached out via phone at 702-202-2060 and via fax at 866-536-4161.

Location: 1180 N Town Center Dr Ste 100, Las Vegas, NV, 89144-6308
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Provider Profile Details
NPI Number
1811667504
Provider Name
Elihu Daniel Wyatt IV
Credential
AGACNP
Provider Entity Type
Individual
Gender
Male
Address
1180 N Town Center Dr Ste 100, Las Vegas, NV, 89144-6308
Phone Number
702-202-2060
Fax Number
866-536-4161
Provider Enumeration Date
09/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
845332 01 NV APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
1180 N Town Center Dr Ste 100
City
State
Zip
89144-6308
Phone Number
702-202-2060
Fax Number
866-536-4161
person
Provider Business Mailing Address Details
Address
1180 N Town Center Dr Ste 100
City
State
Zip
89144-6308
Phone Number
702-202-2060
Fax Number
866-536-4161
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
845332 (Nevada)
Definition
Definition to come...
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