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Katrenia J Wycough

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

9900 Bren Road East
Minnetonka , Minnesota 55343-9664

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Katrenia J Wycough

Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health

9900 Bren Road East
Minnetonka , Minnesota 55343-9664

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Adult Health
  • Nurse Practitioner - Gerontology

Languages spoken

  • English

Location

9900 Bren Road East Minnetonka , Minnesota 55343-9664

First Address

  • Katrenia J Wycough
  • 9900 Bren Rd E
  • Minnetonka, MN
  • Zip : 55343-9664
  • Phone :

Second Address

  • Katrenia J Wycough
  • 9900 Bren Road East
  • Minnetonka, MN
  • Zip : 55343-9664
  • Phone : (903) 681-8334

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FAQs


Where did Katrenia J Wycough attend graduate school?

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Where did Katrenia J Wycough do her residency?

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Where did Katrenia J Wycough do her fellowship?

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Is Katrenia J Wycough board certified?

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What type of doctor is Katrenia J Wycough

Nurse Practitioner - Adult Health

In what state does Katrenia J Wycough practice in?

Minnesota

Where is Katrenia J Wycough ’s practice located?

9900 Bren Road East , Minnetonka, Minnesota, 55343-9664

What is Katrenia J Wycough ’s gender?

Female

Is Katrenia J Wycough a sole practitioner?

No

Is Katrenia J Wycough accepting new patients?

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What languages does Katrenia J Wycough speak?

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Does Katrenia J Wycough accept insurance?

Yes, Katrenia J Wycough accepts insurance

Does Katrenia J Wycough offers telemedicine?

Katrenia J Wycough has not indicated if she offers telemedicine

What is Katrenia J Wycough ’s professional license number?

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What is Katrenia J Wycough ’s NPI number?

1023069242

Does Katrenia J Wycough have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LA2200X Nurse Practitioner - Adult Health 251261 TX
N 363LG0600X Nurse Practitioner - Gerontology 251261 TX

National Provider Identifier

NPI 1023069242
Provider Name Katrenia J Wycough
First Address Minnetonka, MN 55343-9664
Second Address Minnetonka, MN 55343-9664
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 12/05/2006
Last Update Date 17/09/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
29335903 (05) TX
P03368 (02) TX

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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