Individual provider · Type 1 NPI

Kathleen Wyrough, CRNP

Pediatric Nurse Practitioner · Millersville, MD

NPI number 1780715425 Active

Practice location

8601 Veterans Hwy, Ste. 201
Millersville, MD 21108-1547

Mailing address

5 Marbury Rd
Severna Park, MD 21146-3705

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR166595 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1780715425

Kathleen Wyrough, CRNP's National Provider Identifier is 1780715425, issued on Mar 7, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Millersville, MD. The record was last updated on Jul 8, 2007.