Geena Wyatt
Licensed Practical Nurse in Henrietta, TX. Individual provider (NPI-1).
NPI number1760094635
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1760094635
- Entity type
- Individual (NPI-1)
- Name
- Geena Wyatt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 71410 | TX | Yes |
Practice location
411 N Barrett StHenrietta, TX 76365-2203
Phone 940-730-0201
Mailing address
411 N Barrett StHenrietta, TX 76365-2203
Phone 940-730-0201
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