MRS. ANNETTE V. WYCHGRAM NP NPI 1992134621

NPI Information

NPI: 1992134621
Provider Name: MRS. ANNETTE V. WYCHGRAM, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10700 E GEDDES AVE
SUITE 200
ENGLEWOOD, CO
ZIP 80112
Phone: (303) 761-9190
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MRS. Annette V. Wychgram, NP is a family nurse practitioner in Englewood, CO. MRS. Annette V. Wychgram, NP NPI is 1992134621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10700 E GEDDES AVE
SUITE 200
ENGLEWOOD, CO
ZIP 80112-800
Phone: (303) 761-9190
Fax: (720) 874-4462

The NPI 1992134621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 4/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN.0990852	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	343332YQPG	MEDICARE PIN	COLORADO
2	343332YQN9	MEDICARE PIN	COLORADO
3	13739239	MEDICAID	COLORADO
4	1992134621	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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