Individual
MRS. ANNETTE V. WYCHGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10700 E GEDDES AVE, SUITE 200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(720) 874-4462
Mailing address
10700 E GEDDES AVE, SUITE 200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13739239
—
CO
05
—
1992134621
—
MT
Enumeration date
11/04/2013
Last updated
04/10/2017
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