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Ms. Brooke Mary Wyatt, PA
Medical Physician Assistant in Crossville, Tennessee
NPI 1821286519

Brooke Mary Wyatt is a Medical Physician Assistant based in Crossville, TN and is specialized in Medical. Brooke Mary Wyatt practices in Crossville, TN and has the professional credentials of PA. The NPI Number for Brooke Mary Wyatt is 1821286519 and holds a License No. 1544 (Tennessee).

The current practice location address for Brooke Mary Wyatt is 1645 S Main St, Crossville, TN and can be reached out via phone at 931-484-7531 and via fax at 931-456-9515. You can also correspond with Brooke Mary Wyatt through the mailing address at 1645 S MAIN ST, CROSSVILLE, TN - 38555-2908 (mailing address contact number: 931-484-7531).

Location: 1645 S Main St, Crossville, TN, 38555-2908
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Provider Profile Details
NPI Number
1821286519
Provider Name
Brooke Mary Wyatt
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1645 S Main St, Crossville, TN, 38555-2908
Phone Number
931-484-7531
Fax Number
931-456-9515
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1512162 05 TN
4224896 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
1645 S Main St
City
State
Zip
38555-2908
Phone Number
931-484-7531
Fax Number
931-456-9515
person
Provider Business Mailing Address Details
Address
1645 S Main St
City
State
Zip
38555-2908
Phone Number
931-484-7531
Fax Number
931-456-9515
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1544 (Tennessee)
Definition
Definition to come...
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