Individual provider · Type 1 NPI

Carrie Lee Wickware, CDE

Diabetes Educator Registered Nurse · San Jose, CA

NPI number 1992908008 Active

Practice location

750 S Bascom Ave, Diabetes Ed
San Jose, CA 95128-2603

Mailing address

1590 Queensbury Ave
Los Altos, CA 94024-5843

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400XRNH321148 (CA)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1992908008

Carrie Lee Wickware, CDE's National Provider Identifier is 1992908008, issued on Jun 6, 2007. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.