KATHERINE WYATT NP
NPI 1831542620
Nurse Practitioner - Family in Riverside, CA
Active since July 18, 2016
About Katherine Wyatt Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE WYATT NP (NPI 1831542620) is an individual family provider in Riverside, California, licensed in California (95004936) and active in the NPI registry since July 2016. She maintains a secondary practice location in Colton.
NPPES Registry Identity
NPI1831542620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE WYATTCredential: NP
Location Address3772 TIBBETTS STRiverside, CA 92506-2605
Mailing Address3772 Tibbetts StRiverside, CA 92506-2605 · (951) 222-1523 · Fax (951) 682-7904
Phone(951) 222-1523
Sole ProprietorNo
Enumeration DateJuly 18, 2016
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1831542620 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95004936
Also ListedRegistered NurseTaxonomy 163W00000X · License 790215 (CA)
3772 TIBBETTS ST, Riverside, CA 92506
Secondary Practice Location 1
Location 11059 N Mount Vernon AveColton, CA 92324-2500 · Phone (909) 423-0512
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Women's Health Care, Ambulatory)
3772 TIBBETTS ST
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
Registered Nurse (Women's Health Care, Ambulatory)
3772 TIBBETTS ST
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
Nurse Practitioner (Obstetrics & Gynecology)
3772 TIBBETTS ST, PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831542620, enumerated as an "individual" on July 18, 2016.
The provider is located at 3772 TIBBETTS ST RIVERSIDE, CA 92506 and the phone number is (951) 222-1523.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
