Individual provider · Type 1 NPI
Mary Agnes Wykstra, RN
Registered Nurse · Syracuse, NY
Practice location
1540 Glenwood Ave
Syracuse, NY 13207-1011
Mailing address
2041 Buckwheat Rd
Tully, NY 13159-9768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 251724 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1356565675
Mary Agnes Wykstra, RN's National Provider Identifier is 1356565675, issued on Apr 11, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.