NPI 1417623604
Elyse Wyatt
Student in an Organized Health Care Education/Training Program · Lebanon, NH
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:33 am EDT
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Elyse Wyatt is a health care provider (Student in an Organized Health Care Education/Training Program) in Lebanon, New Hampshire with National Provider Identifier (NPI) 1417623604. The NPI was issued on Aug 18, 2021 and the registry record was last updated on Mar 27, 2025.
Registry record
- NPI
- 1417623604
- Type
- Individual (NPI-1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice location
- 1 Medical Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI issued
- Aug 18, 2021
- Registry record updated
- Mar 27, 2025
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.