Wyatt, Celine Ann
Wyatt, Celine Ann is an individual health care provider with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wyatt, Celine Ann can be contacted via phone (919) 350-1570.Contact Information
Primary practice address
23 Sunnybrook Rd
Raleigh NC 27610-1855
Phone: (919) 350-1570
Fax: (919) 790-0108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R17970 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5005905 | North Carolina |
Profile Details
| NPI number | 1720120298 |
|---|---|
| LBN Legal business name | Wyatt, Celine Ann |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Dec 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720120298 | NPPES |
| Other | 607156012 | DEPT OF LABOR | |
| Other | CS95AA97381801 | DEPT OF LABOR | |
| Other | V8140012 | DEPT OF LABOR | |
| MEDICAID | 041200700 | DEPT OF LABOR |
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