Individual provider · Type 1 NPI
Louise M. Wickham, NP
Adult Health Nurse Practitioner · Colchester, CT
NPI number
1851783476
Active
Practice location
12 Woodbine Rd
Colchester, CT 06415-1883
Other practice locations
- 53 Wolcott Hill Rd, Wethersfield, CT 06109-1103 · (888) 888-8888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 113269 (CT) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 12.009638 (CT) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Colchester
About NPI 1851783476
Louise M. Wickham, NP's National Provider Identifier is 1851783476, issued on Feb 19, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Colchester, CT. The record was last updated on Sep 6, 2021.