Individual
DR. KRISTEN MARIE WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
(360) 454-1991
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1900
(360) 454-1991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39957
SC
207Q00000X
Family Medicine Physician
Primary
MD60834504
WA
207Q00000X
Family Medicine Physician
VA0101237234
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399571
—
SC
Enumeration date
07/28/2006
Last updated
12/11/2018
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