Individual
PETRA WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2157 N HWY 116, COPPERAS COVE, TX 76522
(254) 213-8048
(254) 432-6018
Mailing address
3306 SEVILLA DR, KILLEEN, TX 76542-2599
(254) 213-8048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129074
TX
363LF0000X
Family Nurse Practitioner
AP129074
TX
Other
Enumeration date
09/18/2015
Last updated
07/11/2024
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