Individual provider · Type 1 NPI
Kelsey Victoria Wickham, FNP
Family Nurse Practitioner · Bend, OR
NPI number
1831858745
Active
Practice location
1375 NW Kingston Ave
Bend, OR 97703-2242
Mailing address
1385 NW Fort Clatsop St
Bend, OR 97703-5524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 202112796NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Tonya I. Koopman, NPFamily Nurse Practitioner Bend, OR NPI 1013006931
- Deona J. Kasten-Stubbs, FNPFamily Nurse Practitioner Bend, OR NPI 1023202314
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- Debora Ann Leonardo, FNP-BCFamily Nurse Practitioner Bend, OR NPI 1033661327
- Helen Wylie Poindexter, FAMILY NURSE PRACTITFamily Nurse Practitioner Bend, OR NPI 1043294911
About NPI 1831858745
Kelsey Victoria Wickham, FNP's National Provider Identifier is 1831858745, issued on Dec 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bend, OR. The record was last updated on Dec 8, 2021.