Individual provider · Type 1 NPI

Mary C. Wiczek, APRN, CNP

Family Nurse Practitioner · St. Cloud, MN

NPI number 1962003277 Active

Practice location

2420 W Division St
St. Cloud, MN 56301-3926

Call (866) 389-2727 Map

Other practice locations

  • 1027 Washington Ave, Detroit Lakes, MN 56501-3409 · (218) 847-5611

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7722 (MN)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1962003277

Mary C. Wiczek, APRN, CNP's National Provider Identifier is 1962003277, issued on Nov 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 9, 2021.