| Doctor Name: | SHEILA LOUISE WYMAN |
| NPI Number: | 1215154398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 120158 |
| Business Practice Address: | 10726 State Highway 76 Ste G Forsyth, MO - 656535450 |
| Business Phone Number: | 4175462590 |
| Business Fax Number: | 4175462594 |
| Mailing Address: | Po Box 1239, FORSYTH |
| State: | MO |
| Postal Code: | 656531239 |
| Phone Number: | 4175462590 |
| Fax Number: | 4175462590 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 120158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |