Wickett, Breanna
Wickett, Breanna is an individual health care provider with primary practice located at 1410 Sw Tradition Dr Ste 260 , Ankeny IA 50023-9188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wickett, Breanna can be contacted via phone (515) 875-9290.Contact Information
Primary practice address
1410 Sw Tradition Dr Ste 260
Ankeny IA 50023-9188
Phone: (515) 875-9290
Fax: (515) 875-9291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 094923 | Iowa |
Profile Details
| NPI number | 1134690779 |
|---|---|
| LBN Legal business name | Wickett, Breanna |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2018 |
| Last updated | Oct 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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