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Contact Information

WYATT M GARDNER, AGACNP
1 MEDICAL CENTER DR
MORGANTOWN, WV26506-1200
 Phone: 304-598-6194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WYATT M GARDNER · (Male)

NPI # 1720799091
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 12/07/2022
Last updated 04/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # APRN11035167
  • WA License # 114813
  • WV License # 114813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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