Mary Wyman is a Family in Sebastopol, California. Mary Wyman practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Wyman is 1265449797. The last update date is 2007-11-09.
Mary Wyman's current location address is 523 N Main St, Sebastopol, California. You can contact this provider via phone number 7078692849 and fax number 7078691477. The mailing address for Mary Wyman is 523 N Main St, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Wyman |
|---|---|
| Address | 523 N Main St, Sebastopol, California |
| Phone Number | 7078692849 |
| Fax Number | 7078691477 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1265449797 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 523 N Main St |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954723406 |
| Phone Number | 7078692849 |
| Fax Number | 7078691477 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | NP13614 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ73222Z | MEDICARE PART B | ||
| NP13614 | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Mary Wyman's unique identification number?
The Mary Wyman has been assigned the NPI (National Provider Identifier) Number 1265449797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mary Wyman?
The Mary Wyman is situated at 523 N Main St, in the city of Sebastopol, state of CA, with the zip code 954723406.
What is Mary Wyman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Wyman is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When did the Mary Wyman receive its 1265449797?
The Mary Wyman was issued its 1265449797 on 2006-08-01, which is the date when the organization was assigned this unique identifier.
When was the information related to Mary Wyman most recently updated or refreshed?
The details pertaining to the Mary Wyman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-09.
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