Individual provider · Type 1 NPI

Anna Katherine Wicklund

Nurse Practitioner · Wausau, WI

NPI number 1174013619 Active

Practice location

2606 Stewart Ave Ste 100
Wausau, WI 54401-5449

Fax (715) 847-2775

Mailing address

209 North Emerald Drive
Wausau, WI 54401-3969

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X8400 (WI)
Family Nurse Practitioner 363LF0000X8400-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174013619

Anna Katherine Wicklund's National Provider Identifier is 1174013619, issued on May 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wausau, WI. The record was last updated on Sep 9, 2022.