Female

Celine A. Wyatt ACNP

Acute Care Nurse Practitioner in Raleigh, NC(View on Map)

Full Name

Celine Ann Wyatt ACNP

NPI Number

1720120298

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/13/2007

Specialties

(Taxonomies)

Code

363LA2100X

Primary Taxonomy

Yes

Licenses

State

Maryland
North Carolina

License Number

R17970
5005905

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 603949
23 SUNNYBROOK RD

City

Charlotte
Raleigh

State

NC
NC

Postal Code

28260-3949
27610-1855

Country

US
US

Telephone Number

(877) 498-4490
(919) 350-1570

Identifiers

Identifier

V8140012
CS95AA97381801
041200700
607156012

Identifier State

Unknown
Unknown
MD
Unknown

Identifier Issuer

CAREFIRST
CAREFIRST
Unknown
DEPT OF LABOR

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

cwyatt63163@direct.UNC.nchie.net

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
CDA/CCD/TXT

Affiliation

N

Endpoint Location

4420 Lake Boone TrlRaleigh, NC276077505US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/02/2024

Provider Address

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