DR. AMANDA WYATT DNP APRN-CNSBC-ADM NPI 1952657587

NPI Information

NPI: 1952657587
Provider Name: DR. AMANDA WYATT, DNP, APRN-CNS,BC-ADM
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
7804 E 108TH ST STE A
TULSA, OK
ZIP 74133
Phone: (918) 857-2135
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DR. Amanda Wyatt, DNP, APRN-CNS,BC-ADM is an adult health clinical nurse specialist in Tulsa, OK. DR. Amanda Wyatt, DNP, APRN-CNS,BC-ADM NPI is 1952657587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7804 E 108TH ST STE A
TULSA, OK
ZIP 74133-423
Phone: (918) 857-2135

The NPI 1952657587 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 8/1/2012 and was last updated on 7/11/2023.

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	163W00000X	Registered Nurse		99497	OKLAHOMA	No
2	163WD0400X	Registered Nurse	Diabetes Educator	R0099497	OKLAHOMA	No
3	163WG0000X	Registered Nurse	General Practice	R0099497	OKLAHOMA	No
4	364S00000X	Clinical Nurse Specialist		2016019386	OKLAHOMA	No
5	364SA2200X	Clinical Nurse Specialist	Adult Health	R0099497	OKLAHOMA	No
6	364SG0600X	Clinical Nurse Specialist	Gerontology	2016019386	OKLAHOMA	No
7	364SA2200X	Clinical Nurse Specialist	Adult Health	2016019386	OKLAHOMA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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