Individual provider · Type 1 NPI
Ellice Ann Wickwire, R.N.
Community Health Registered Nurse · Pinckneyville, IL
NPI number
1386081115
Active
Practice location
907 S Main St
Pinckneyville, IL 62274-1700
Fax (618) 357-3190
Mailing address
PO Box 49
Pinckneyville, IL 62274-0049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 041.276442 (IL) |
Community Health Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1386081115
Ellice Ann Wickwire, R.N.'s National Provider Identifier is 1386081115, issued on Jun 3, 2013. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Pinckneyville, IL. The record was last updated on Jun 3, 2013.