Individual
DR. MARY WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ACNP, BC, NNP
Contact information
Practice address
2315 STOCKTON AVE, SACRAMENTO, CA 95817
(916) 703-3395
Mailing address
5373 MONALEE AVE, SACRAMENTO, CA 95819
(305) 904-3661
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1703712
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
21525
CA
363LF0000X
Family Nurse Practitioner
21525
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
21525
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3812
CA
Other
Enumeration date
01/26/2007
Last updated
10/29/2012
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