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Shannon Wyatt
NPI 1992151203 · on the registry since 2016 · sole proprietor
Practice
- Address
- 400 Commerce Cir
H
Yorktown, VA 23693 - Phone
- (757) 596-2484
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Also registered as
- 174400000X
332BC3200X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia