Individual provider · Type 1 NPI
Katrenia J. Wycough, RN, A/GNP-C
Adult Health Nurse Practitioner · Minnetonka, MN
NPI number
1023069242
Active
Practice location
9900 Bren Road East
Minnetonka, MN 55343-9664
Mailing address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 251261 (TX) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 251261 (TX) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1023069242
Katrenia J. Wycough, RN, A/GNP-C's National Provider Identifier is 1023069242, issued on May 12, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 17, 2020.