Individual
ANGELITA A WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
105 ISRAEL AVENUE, THOMASVILLE, GA 31792
(229) 221-0871
Mailing address
105 ISRAEL AVENUE, THOMASVILLE, GA 31792
(229) 221-0871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN188780
GA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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