Diane Wyatt, MSN, RN, AGCNS-BC - Clinical Nurse Specialist in Wyandotte, MI

Diane Wyatt, MSN, RN, AGCNS-BC is a Clinical Nurse Specialist - Gerontology based in Wyandotte, Michigan. Diane Wyatt is licensed to practice in Michigan (license number 2018079552) and her current practice location is 2333 Biddle Ave, Wyandotte, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 246-9865.

NPI number for Diane Wyatt is 1376110080 and her current mailing address is 11776 Commerce Rd, Brighton, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376110080.

Contact Information

Diane Wyatt, MSN, RN, AGCNS-BC
2333 Biddle Ave,
Wyandotte, MI 48192-4668
(734) 246-9865
Not Available

Map and Direction




Provider's Profile

Full NameDiane Wyatt
GenderFemale
SpecialityClinical Nurse Specialist - Gerontology
Location2333 Biddle Ave, Wyandotte, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376110080
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 06/10/2021

Medical Identifiers

Medical identifiers for Diane Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376110080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SG0600XClinical Nurse Specialist - Gerontology 2018079552 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Wyatt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diane Wyatt, MSN, RN, AGCNS-BC
11776 Commerce Rd,
Brighton, MI 48114-9650

Ph: (734) 377-0839
Diane Wyatt, MSN, RN, AGCNS-BC
2333 Biddle Ave,
Wyandotte, MI 48192-4668

Ph: (734) 246-9865

Reviews and Comments


Clinical Nurse Specialist Nurses in Wyandotte, MI

Amy L Dzeroogian,
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192
Phone: 734-246-9547    
Shontaya Carrico, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 2333 Biddle Avenue, Wyandotte, MI 48192
Phone: 734-246-9547    

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