Individual provider · Type 1 NPI
Bethany Wickson, CNP
Nurse Practitioner · Detroit, MI
Practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
4201 St Antoine Uhc 4B
Detroit, MI 48201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704088774 (MI) |
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 1518087352
Bethany Wickson, CNP's National Provider Identifier is 1518087352, issued on Mar 29, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.