Wickersham, Malissa D
Wickersham, Malissa D is an sole proprietor health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wickersham, Malissa D can be contacted via phone (860) 694-7521.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000606 | South Dakota |
Profile Details
| NPI number | 1992005623 |
|---|---|
| LBN Legal business name | Wickersham, Malissa D |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Nov 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Prentiss, Angela Lyn
52 Hazelnut Hill Rd , Groton CT 06340-3268 -
Roy, Nicole
75 Eastern Point Rd , Groton CT 06340-4905 -
Gloor, Elizabeth Kathleen
1 Wahoo Dr Naval Branch Health Clinic, Groton CT 06349-5600 -
Hoekman, Keith Benjamin
1 Wahoo Dr , Groton CT 06349 -
Sanjuan, Gail Lee
Route 12 Bldg 449 Attn Professional Affairs Naval Ambulatory Care Center, Groton CT 06349-5600 -
Swim, Patricia R
481 Gold Star Hwy # 100 , Groton CT 06340-6702 -
Shelby, Amanda L
915 Poquonnock Rd , Groton CT 06340-4257 -
Pagulayan, Ted Ubina
1 Wahoo Ave , Groton CT 06340-2324