Most Relevant Information
Provider Data
| NPI Number: | 1003208299 |
| Provider Name: | SHARLA LOUISE WYATT RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN167505 |
Most Important Dates
| Enumeration Date: | 02/24/2015 |
| Last Updated: | 02/24/2015 |
Provider Practice Location
4212 N 16TH ST
PHOENIX
AZ
850165319
Practice Location Phone/Fax
| Phone: | 6022631200 |
| Fax: |
Provider Mailing Location
PO BOX 310010698
PASADENA
CA
911100698
Provider Mailing Phone/Fax
| Phone: | 6022005383 |
| Fax: |