Mary Jo Wicks is a Family in Dickinson, North Dakota. Mary Jo Wicks practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Jo Wicks is 1407952542. The last update date is 2011-01-12.
Mary Jo Wicks's current location address is 938 2nd Ave W, Dickinson, North Dakota. You can contact this provider via phone number 7014566000 and fax number 7014566101. The mailing address for Mary Jo Wicks is 938 2nd Ave W, Dickinson, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Wicks |
|---|---|
| Address | 938 2nd Ave W, Dickinson, North Dakota |
| Phone Number | 7014566000 |
| Fax Number | 7014566101 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1407952542 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2011-01-12 |
Provider Mailing Address Detail
| Address | 938 2nd Ave W |
|---|---|
| City | Dickinson |
| State | North Dakota (ND) |
| Post Code | 586013916 |
| Phone Number | 7014566000 |
| Fax Number | 7014566101 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R26972 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19746 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Jo Wicks by the Centers for Medicare & Medicaid Services?
The Mary Jo Wicks has been issued the NPI (National Provider Identifier) 1407952542, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Mary Jo Wicks's area of specialization and corresponding taxonomy classification?
The Mary Jo Wicks's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When did the Mary Jo Wicks receive its 1407952542?
The Mary Jo Wicks was issued its 1407952542 on 2006-09-16, which is the date when the organization was assigned this unique identifier.
On what date did the Mary Jo Wicks receive its 1407952542 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jo Wicks was assigned its 1407952542 by the Centers for Medicare & Medicaid Services on 2006-09-16.
As of what date were the details related to Mary Jo Wicks most recently updated or revised?
The information pertaining to Mary Jo Wicks, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-12.
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