Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Easton Wyatt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861240988

Easton Wyatt is a Student in an Organized Health Care Education/Training Program in Edwardsville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6 Hairpin Dr
Edwardsville, IL 62026-1000
Phone: (618) 650-3956
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1861240988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address1968 Eden Cir, Cape Girardeau, MO 63701-2727

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