Individual provider · Type 1 NPI
Elaine Wickham
Licensed Practical Nurse · Lakeland, FL
NPI number
1699010637
Active
Practice location
1835 Gilmore Ave
Lakeland, FL 33805-3017
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN5199622 (FL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
80 other providers at this address
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About NPI 1699010637
Elaine Wickham's National Provider Identifier is 1699010637, issued on Dec 3, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lakeland, FL. The record was last updated on Dec 3, 2012.