MS. EMILY WICKHAM
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1073254439
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 114078 (NE) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | A174602 (IA) |
Frequently Asked Questions
NPI 1073254439 is the National Provider Identifier for MS. EMILY WICKHAM, a Nurse Practitioner - Primary Care provider located in Council Bluffs, IA. This NPI was enumerated on April 7, 2022.
MS. EMILY WICKHAM practices at 3434 W BROADWAY STE 100, Council Bluffs, IA 51501.
Quick Facts
- NPI
- 1073254439
- Type
- Individual
- Enumerated
- Apr 7, 2022
- Last Updated
- Oct 24, 2023
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