NPI 1376110080

Diane Wyatt, MSNRNAGCNSBC

Practitioner Gerontology Clinical Nurse Specialist Wyandotte, MI

Practice location

Address: 2333 Biddle Ave, Wyandotte, MI 48192-4668
Phone: (734) 246-9865
Mailing address: 11776 Commerce Rd, Brighton, MI 48114-9650

Registered specialties

Gerontology Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 2018079552 (MI)

Other Clinical Nurse Specialist providers in Michigan →

Registry record

NPI: 1376110080
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2021
Record last updated: 10 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.