Individual provider · Type 1 NPI
Whitney Layne Wicklund
Family Nurse Practitioner · Staten Island, NY
NPI number
1194333831
Active
Practice location
519 Broadway
Staten Island, NY 10310-2822
Mailing address
375 Sheffield St
Staten Island, NY 10310-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 697194-01 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F04220230 (NY) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1194333831
Whitney Layne Wicklund's National Provider Identifier is 1194333831, issued on Jul 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 3, 2023.