Katrenia J Wycough in Minnetonka - Gerontology
Katrenia J Wycough - NPI 1023069242
Katrenia J Wycough is a Gerontology in Minnetonka, Minnesota. Katrenia J Wycough practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Katrenia J Wycough is 1023069242. The last update date is 2020-09-17.
Katrenia J Wycough's current location address is 9900 Bren Road East, Minnetonka, Minnesota. You can contact this provider via phone number 9036818334. The mailing address for Katrenia J Wycough is 9900 Bren Road East, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katrenia J Wycough |
|---|---|
| Address | 9900 Bren Road East, Minnetonka, Minnesota |
| Phone Number | 9036818334 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN, A/GNP- |
NPI Number Detail
| NPI Number | 1023069242 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2020-09-17 |
Provider Mailing Address Detail
| Address | 9900 Bren Road East |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 5534396640 |
| Phone Number | 9036818334 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 251261 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29335903 | TX | -- |
Post Comment/ Review Below
What is the Katrenia J Wycough's unique identification number?
The Katrenia J Wycough has been assigned the NPI (National Provider Identifier) Number 1023069242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Katrenia J Wycough?
The Katrenia J Wycough is physically situated at 9900 Bren Road East, in the city of Minnetonka, state of MN, with the postal code 5534396640.
What is Katrenia J Wycough's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Katrenia J Wycough is Gerontology, and the taxonomy code that classifies this field of practice is 363Lg0600X.
When was the Katrenia J Wycough's 1023069242 issued?
The Katrenia J Wycough's 1023069242 was issued on 2006-05-12.
As of what date was the information pertaining to Katrenia J Wycough, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Katrenia J Wycough, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-09-17.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX