Individual provider · Type 1 NPI

Bonnie Beth Wickham, PA

Physician Assistant · Palmer, AK

NPI number 1225058902 Active

Practice location

12039 E Maple Springs Way
Palmer, AK 99645-9797

Call (907) 745-9088 Map

Fax (833) 464-5211

Mailing address

PO Box 22000
San Angelo, TX 76902-7200

Other practice locations

  • 402 W 26th St, San Angelo, TX 76903-2826 · (325) 658-1511
  • 61250 SE Coombs Pl, Bend, OR 97702-3704 · (541) 706-5930

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA04799 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1225058902

Bonnie Beth Wickham, PA's National Provider Identifier is 1225058902, issued on Jul 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Palmer, AK. The record was last updated on Aug 12, 2026.