Individual provider · Type 1 NPI

Amy Wicke, PA-C

Medical Physician Assistant · Austin, TX

NPI number 1568465722 Active

Practice location

100 W Dean Keeton St
Austin, TX 78712-1091

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA04282 (TX)
Medical Physician Assistant Primary 363AM0700XPA04282 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1568465722

Amy Wicke, PA-C's National Provider Identifier is 1568465722, issued on May 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austin, TX. The record was last updated on Feb 16, 2024.