Search › Oklahoma › 364SA2200X
Amanda Wyatt, DNP, APRN-CNS,BC-ADM
NPI 1952657587 · on the registry since 2012
Practice
- Address
- 7804 E 108th St Ste A
Tulsa, OK 74133 - Phone
- (918) 857-2135
- Organisation at this address
- Modify, Pllc
Summit Mental Health, Llc.
At Peace Mental Health PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 364SA2200X
364SA2200X
- Also registered as
- 163W00000X
163WD0400X
163WG0000X
364S00000X
364SA2200X
364SG0600X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-11
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 Oklahoma