Geena Wyatt
Individual provider Active NPI Licensed Practical Nurse · Henrietta, TX
NPI 1760094635 · NPPES record last updated Aug 20, 2020
Key facts
- NPI
- 1760094635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 71410 (TX)
- Practice address
- 411 N Barrett St
Henrietta, TX 76365-2203 - Phone
- (940) 730-0201
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71410 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 71410 | TX | Yes |
Addresses
Primary practice location
411 N Barrett St
Henrietta, TX 76365-2203
Mailing address
411 N Barrett St
Henrietta, TX 76365-2203
Phone (940) 730-0201
Other providers in Henrietta, TX
All providers in Henrietta, TX · Licensed Practical Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.