Individual provider · Type 1 NPI

Timothy C. Wical Jr., BSN, DNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Puyallup, WA

NPI number 1013469592 Active

Practice location

15406 Meridian E
Puyallup, WA 98375-9504

Fax (949) 577-4515

Mailing address

4301 Jones Bridge Rd
Bethesda, MD 20814-4712

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP60961155 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1013469592

Timothy C. Wical Jr., BSN, DNP, PMHNP-BC's National Provider Identifier is 1013469592, issued on Oct 31, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Puyallup, WA. The record was last updated on Oct 21, 2020.