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Myllissa Wyatt, NP

NPI 1730439266 · on the registry since 2012 · sole proprietor

Practice

Address
403 Riverfront Dr
Salmon, ID 83467
Phone
(208) 742-1110
Fax
(208) 742-1120
Organisation at this address
Salmon River Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-22

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 Idaho