DR. MARY WYCKOFF


Address: 2315 Stockton Ave, Sacramento, CA 95817
Phone: 9167033395

DR. MARY WYCKOFF (NPI# 1952457467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952457467
Entity Type Individual
Full Name DR. MARY WYCKOFF
Other Name DR. MARY WYCKOFF
Credential PHD, ACNP, BC, NNP
Practice Address 2315 Stockton Ave
Sacramento
CA 95817
Mailing Address 5373 Monalee Ave
Sacramento
CA 95819
Practice Telephone 9167033395
Mailing Telephone 3059043661
Enumeration Date 2007-01-26
Last Update Date 2012-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
21525 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
1703712 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
21525 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
21525 CA Physician Assistants & Advanced Practice Nursing Providers
N 364SA2100X Clinical Nurse Specialist
Specialization: Acute Care
3812 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2315 STOCKTON AVE
City SACRAMENTO
State CA
Zip Code 95817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
Find all providers in zip 95817

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871104877 Aimee Yrigan Aquitania Nurse Practitioner 701 Howe Ave Ste 50, Sacramento, CA 95825-4670 2020-08-12
1861957862 Jarad Reddekopp Nurse Practitioner 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 2019-02-04
1972026391 Kevin Yi Chen Nurse Practitioner 2751 W River Dr Apt 921, Sacramento, CA 95833-3785 2017-07-18
1790235323 Kendall Thelen Nurse Practitioner 1750 Howe Ave, Suite 500, Sacramento, CA 95825-3367 2016-10-06
1962950550 Jennifer Mcgrath Nurse Practitioner 2315 Stockton Blvd Ste 4212, Sacramento, CA 95817-2201 2016-09-13
1659679595 Nai Sio Saechao Nurse Practitioner 9948 Firstone Dr, Sacramento, CA 95829-8149 2011-03-01
1356464333 Jenifer Lyn Rofkahr Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2007-04-06
1700926185 Lorin J Bacon Nurse Practitioner 2345 Fair Oaks Blvd # 2853, Sacramento, CA 95825-4708 2007-02-07
1093799660 Jeff Scott Kasten Nurse Practitioner 2316 Stockton Blvd, Sacramento, CA 95817-2202 2005-12-06
1477154722 Myleen Dumagan Romarate Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2020-11-03
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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