Provider Demographics
NPI:1992556633
Name:WYARTT, AMBER (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:WYARTT
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 OFFICE PLAZA DR STE 104
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2755
Mailing Address - Country:US
Mailing Address - Phone:850-294-2500
Mailing Address - Fax:
Practice Address - Street 1:327 OFFICE PLAZA DR STE 104
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2755
Practice Address - Country:US
Practice Address - Phone:850-294-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy