MONIQUE CARMELLE DORVILLIER-WYATT FNP
NPI 1457577207
Nurse Practitioner - Family in San Diego, CA

Q: What is Monique Dorvillier-wyatt's NPI number?

The NPI number for Monique Dorvillier-wyatt is 1457577207. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Monique Dorvillier-wyatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 18, 2007

1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108(619) 881-4500 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Monique Carmelle Dorvillier-wyatt Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIQUE CARMELLE DORVILLIER-WYATT FNP (NPI 1457577207) is an individual family provider in San Diego, California, licensed in California (11872) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1457577207

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMONIQUE CARMELLE DORVILLIER-WYATTCredential: FNP

Location Address1075 CAMINO DEL RIO SSan Diego, CA 92108-3538

Mailing Address1075 Camino Del Rio SSan Diego, CA 92108-3538 · (619) 881-4500

Phone(619) 881-4500

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1457577207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 11872

1075 CAMINO DEL RIO S, San Diego, CA 92108

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Other Identifiers 1

Medicare UPIN524069CA

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.

JEFF RUGGLES

Pharmacist