Organization
WYCO-CARE, APRN, NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK WYCOCO NP (PRESIDENT)
(505) 658-8898
Entity
Organization
Contact information
Practice address
1604 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6723
(505) 658-8898
(505) 499-4988
Mailing address
1209 MOUNTAIN ROAD PL NE # 8085, ALBUQUERQUE, NM 87110-7845
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
04/30/2025
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