Individual
KATRENIA J WYCOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, A/GNP-C
Contact information
Practice address
9900 BREN ROAD EAST, MINNETONKA, MN 55343-9664
(903) 681-8334
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
251261
TX
363LG0600X
Gerontology Nurse Practitioner
251261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29335903
—
TX
Enumeration date
05/12/2006
Last updated
09/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us