DIANE WYATT MSN, RN, AGCNS-BC
NPI 1376110080
Clinical Nurse Specialist - Gerontology in Wyandotte, MI
Active since June 10, 2021
About Diane Wyatt Msn, Rn, Agcns-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE WYATT MSN, RN, AGCNS-BC (NPI 1376110080) is an individual gerontology provider in Wyandotte, Michigan, licensed in Michigan (2018079552) and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1376110080
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameDIANE WYATTCredential: MSN, RN, AGCNS-BC
Location Address2333 BIDDLE AVEWyandotte, MI 48192-4668
Mailing Address11776 Commerce RdBrighton, MI 48114-9650 · (734) 377-0839
Phone(734) 246-9865
Sole ProprietorNo
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1376110080 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in MI · 2018079552
2333 BIDDLE AVE, Wyandotte, MI 48192
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2333 BIDDLE AVE, 1ST FLOOR MAIN LOBBY
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376110080, enumerated as an "individual" on June 10, 2021.
The provider is located at 2333 BIDDLE AVE WYANDOTTE, MI 48192 and the phone number is (734) 246-9865.
Clinical Nurse Specialist with taxonomy code 364SG0600X and a focus in Gerontology.
