Provider Demographics
NPI:1992738801
Name:WYANT, BARBARA A (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:WYANT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:WYANT-STROOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:206 SURREY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-2142
Mailing Address - Country:US
Mailing Address - Phone:540-667-8888
Mailing Address - Fax:540-678-9518
Practice Address - Street 1:158 FRONT ROYAL PIKE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-4346
Practice Address - Country:US
Practice Address - Phone:540-667-8888
Practice Address - Fax:540-678-9518
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA138720163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health