MR. ELIHU DANIEL WYATT AGACNP NPI 1811667504

NPI Information

NPI: 1811667504
Provider Name: MR. ELIHU DANIEL WYATT, AGACNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: RELIANT PHYSICIANS KUMAR PLLC

PECOS Registration: Yes

Address:
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144
Phone: (702) 202-2060
Get Directions

MR. Elihu Daniel Wyatt, AGACNP is a gerontology nurse practitioner in Las Vegas, NV with 3 years of experience. MR. Elihu Daniel Wyatt, AGACNP NPI is 1811667504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144-308
Phone: (702) 202-2060
Fax: (866) 536-4161

The NPI 1811667504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2021 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	845332	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	845332	OTHER	NEVADA	APRN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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