Individual provider · Type 1 NPI

Betty R. Wickstrom, N.P.

Adult Health Nurse Practitioner · Atlanta, GA

NPI number 1669405197 Active

Practice location

960 Johnson Ferry Rd NE, Suite 336
Atlanta, GA 30342-1631

Fax (404) 252-1772

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	RN045532 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1669405197

Betty R. Wickstrom, N.P.'s National Provider Identifier is 1669405197, issued on Jul 8, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.