Individual provider · Type 1 NPI

Dana Lynn Wicks, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1922357086 Active

Practice location

80 Seymour St
Hartford, CT 06102-8000

Call (860) 972-5022 Map

Fax (860) 545-3266

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice locations

  • 100 Grand St, New Britain, CT 06052-2016 · (860) 224-5694
  • 326 Washington St, Norwich, CT 06360-2740 · (860) 889-8331

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X004549 (CT)
Surgical Physician Assistant 363AS0400X015905 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1922357086

Dana Lynn Wicks, PA-C's National Provider Identifier is 1922357086, issued on Sep 5, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jan 12, 2026.