Carrie Jean Wyllys
Nurse Practitioner Nurse Practitioner - Neonatal
1500 East Medical Center Drive 8th Floor C.s. Mott Children's Hospital
Ann Arbor
, Michigan 48109-4254
Carrie Jean Wyllys
Nurse Practitioner Nurse Practitioner - Neonatal
1500 East Medical Center Drive 8th Floor C.s. Mott Children's Hospital
Ann Arbor
, Michigan 48109-4254
(734) 936-2047
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Carrie Jean Wyllys
- 3621 South State Street 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Carrie Jean Wyllys
- 1500 East Medical Center Drive 8th Floor C.s. Mott Children's Hospital
- Ann Arbor, MI
- Zip : 48109-4254
- Phone : (734) 763-4109
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704260131 | MI |
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704260131 | MI |
| N | 363LN0000X | Nurse Practitioner - Neonatal | COA.15322-NP | OH |
National Provider Identifier
| NPI | 1154750578 |
|---|---|
| Provider Name | Carrie Jean Wyllys |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48109-4254 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2013 |
| Last Update Date | 30/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.