Individual provider · Type 1 NPI
Frederick Wycoco, NP
Family Nurse Practitioner · San Diego, CA
NPI number
1609331560
Active
Practice location
446 Alta Rd # 5300
San Diego, CA 92158-0001
Fax (505) 499-4988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95010473 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95010473 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 79465 (NM) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1609331560
Frederick Wycoco, NP's National Provider Identifier is 1609331560, issued on Feb 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Dec 30, 2025.