Individual
DR. INGRID RUTH WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-8839
Mailing address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6093
MN
Other
Enumeration date
07/11/2018
Last updated
09/24/2018
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