Individual provider · Type 1 NPI

Mary Agnes Wykstra, RN

Registered Nurse · Syracuse, NY

NPI number 1356565675 Active

Practice location

1540 Glenwood Ave
Syracuse, NY 13207-1011

Mailing address

2041 Buckwheat Rd
Tully, NY 13159-9768

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X251724 (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.