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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYLLISSA M. WYATT, NP

Active Sole Proprietor

MYLLISSA M. WYATT, NP is a Family Nurse Practitioner healthcare provider located in SALMON, Idaho. NPI 1730439266 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SALMON, ID

Registration Details

NPI Number
1730439266
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2012 (13.911937916914 yrs)
Last Updated
Jan 22, 2025
Licenses
NP-1202A (ID)
1202A (ID)
Sole Proprietor
Yes

Practice Information

Address
403 RIVERFRONT DR
SALMON, ID, 834675162
Browse ID providers · Browse ZIP 83467
Phone
2087421110
Fax
2087421120
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Nurse Practitioner

Other Family Nurse Practitioner Providers in SALMON, ID

Name Credential NPI
SUZANNE NEBEKER NP 1427147511
MS. JANET MERRELL FNP 1285822692
MRS. MONICA LENA WHITE NP 1548772338
WILLOW GRIFFITH APRN-C 1518473560
JOHN DUSTIN PENA FNP 1730787482
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.