Individual
KATHRYN WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, NP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(415) 314-9276
Mailing address
1330 BOREN AVE, APT. 601, SEATTLE, WA 98101-2773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95001182
CA
363L00000X
Nurse Practitioner
Primary
AP 60525669
WA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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