FNP Mary Wyman, NPI 1265449797
Family Nurse Practitioner in Guerneville, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1265449797
NPI Entity Type Individual
Provider Name FNP Mary Wyman
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 16319 Third Street, Guerneville, CA, US
Provider Mailing Address 523 N Main St, Sebastopol, CA, US, 954723406
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. NP13614
License State CA
Description Definition to come...

Business Address

FNP Mary Wyman
16319 Third Street

Guerneville, CA, US

Phone: 707-869-2849
Fax: 707-869-1477

Mailing Address

FNP Mary Wyman
523 N Main St
Sebastopol, CA, US
ZIP 954723406
Phone: 707-869-2849
Fax: 707-869-1477

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
ZZZ73222Z MEDICARE PART B 01
NP13614 CA STATE LICENSE NUMBER 01

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