Wikoff, Cassidy

Wikoff, Cassidy is an individual health care provider with primary practice located at 9500 Kanis Rd Ste 410 , Little Rock AR 72205-6377. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wikoff, Cassidy can be contacted via phone (501) 202-1500.

Contact Information

Primary practice address
9500 Kanis Rd Ste 410 Little Rock AR 72205-6377
Phone: (501) 202-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X GAA-NP000101 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A001940 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A001940 Arkansas

Profile Details

NPI number 1396824264
LBN Legal business name Wikoff, Cassidy
Credentials DNP, ACNP-AG, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Aug 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396824264 NPPES
Arkansas Other 5A302 MCRA
Arkansas Other P00385212 MCRA

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