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

Myllissa M. Wyatt, NP

Individual provider Family Nurse Practitioner · NPI 1730439266

Myllissa M. Wyatt, NP is a Nurse Practitioner in Salmon, Idaho. Qualified in 2012, 14 years ago. Practices with Salmon River Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

403 Riverfront Dr
Salmon, ID 83467-5162
Phone: (208) 742-1110
Fax: (208) 742-1120
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1202A (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 1202A (ID)

Record details

NPI number1730439266
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 12, 2012
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Salmon River Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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