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

Mr. Elihu Daniel Wyatt IV, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1811667504

Mr. Elihu Daniel Wyatt IV, AGACNP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2021, 5 years ago. Practices with Reliant Physicians Kumar PLLC, a 37-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021

Practice location Address checks out

1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Phone: (702) 202-2060
Fax: (866) 536-4161
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 845332 (NV)

Record details

NPI number1811667504
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedSeptember 15, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateJuly 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Reliant Physicians Kumar Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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