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NPI Code Detail

MEDICARE: MRS. AMANDA KATHERINE WYATT FNP-C

MEDICARE: MRS. AMANDA KATHERINE WYATT FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP120397TX

General Provider Information

NPI Number : 1184973679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA KATHERINE WYATT FNP-C
Provider Business Mailing Address
First Line : 9997 DEERFIELD DR
Second Line :
City : FRISCO
State : TX
Zip : 75033-8353
Country : US
Telephone Number : 214-215-1188
Fax Number :
Provider Business Practice Location Address
First Line : 2591 FM 423 STE 100
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-6664
Country : US
Telephone Number : 972-731-8032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 03/17/2026

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Directions to “ MRS. AMANDA KATHERINE WYATT FNP-C” Practice Location

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