Individual provider · Type 1 NPI

Kalee Irene Wysuph, APRN, CNP

Pediatric Nurse Practitioner · Fargo, ND

NPI number 1972132249 Active

Practice location

1702 University Dr S
Fargo, ND 58103-4940

Mailing address

SSB-6, 400 E 3rd St
Duluth, MN 55805

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Nurse Practitioner Primary 363LP0200XR42839 (ND)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1972132249

Kalee Irene Wysuph, APRN, CNP's National Provider Identifier is 1972132249, issued on Apr 7, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fargo, ND. The record was last updated on Apr 28, 2021.