WYATT EDWARD BAKER
Individual Provider (NPI-1)
Active
Nurse Practitioner, Acute Care
Provider Information
- NPI Number
1326704040- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 800 GRAND CENTRAL MALL STE 4, VIENNA, WV, 261054100
- Phone
- (304) 485-3300
- Fax
- (304) 485-5584
Specialties & Taxonomies
Nurse Practitioner, Acute Care
Primary License: WV #111191