Wickham, Louise M

Wickham, Louise M is an individual health care provider with primary practice located at 12 Woodbine Rd , Colchester CT 06415-1883. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wickham, Louise M can be contacted via phone (860) 501-0590.

Contact Information

Primary practice address
12 Woodbine Rd Colchester CT 06415-1883
Phone: (860) 501-0590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 113269 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 12.009638 Connecticut

Profile Details

NPI number 1851783476
LBN Legal business name Wickham, Louise M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2015
Last updated Sep 6th, 2021 - about 3 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.

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