Provider Demographics
NPI:1831729938
Name:WYCOFF, ALYSON
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:WYCOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STUDENT HEALTH SERVICE MC7002
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA BUILDING 588
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:91036-7002
Mailing Address - Country:US
Mailing Address - Phone:805-893-7129
Mailing Address - Fax:
Practice Address - Street 1:STUDENT HEALTH SERVICE MC7002
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA BUILDING 588
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:91036-7002
Practice Address - Country:US
Practice Address - Phone:805-893-7129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025976163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health