Amanda L Wicker in East Prairie - Licensed Practical Nurse

Amanda L Wicker - NPI 1265637987

Amanda L Wicker is a Licensed Practical Nurse in East Prairie, Missouri. Amanda L Wicker practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Amanda L Wicker is 1265637987. The last update date is 2007-07-08.

Amanda L Wicker's current location address is 106 S Washington St, East Prairie, Missouri. You can contact this provider via phone number 5736499411 and fax number 5736499442. The mailing address for Amanda L Wicker is 106 S Washington St, East Prairie, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda L Wicker
Address 106 S Washington St, East Prairie, Missouri
Phone Number 5736499411
Fax Number 5736499442
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1265637987
Provider Enumeration Date 2007-06-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 106 S Washington St
City East Prairie
State Missouri (MO)
Post Code 638451526
Phone Number 5736499411
Fax Number 5736499442

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 2003028629
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Amanda L Wicker

What is the unique 10-digit identifier code assigned to Amanda L Wicker by the Centers for Medicare & Medicaid Services?

The Amanda L Wicker has been issued the NPI (National Provider Identifier) 1265637987 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Amanda L Wicker is physically located?

The Amanda L Wicker is physically situated at the following address: 106 S Washington St, East Prairie, MO, 638451526.

What is Amanda L Wicker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Amanda L Wicker is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.

On what date was the 1265637987 assigned to Amanda L Wicker?

The Amanda L Wicker was issued its 1265637987 on 2007-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Amanda L Wicker most recently updated or refreshed?

The details pertaining to the Amanda L Wicker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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