Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WYATT
Active Sole ProprietorSHANNON WYATT is a Prosthetic/Orthotic Supplier healthcare provider located in YORKTOWN, Virginia. NPI 1992151203 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · YORKTOWN, VA
Registration Details
- NPI Number
- 1992151203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2016 (10.088215283163 yrs)
- Last Updated
- May 6, 2016
- License
-
1202213935 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 COMMERCE CIRHYORKTOWN, VA, 236934322Browse VA providers · Browse ZIP 23693
- Phone
- 7575962484
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
- Additional Specialty
- Customized Equipment (DME)
- Additional Specialty
- Prosthetic/Orthotic Supplier
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.