Wickham, Emily

Wickham, Emily is an individual health care provider with primary practice located at 3434 W Broadway Ste 100 , Council Bluffs IA 51501-3291. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Wickham, Emily can be contacted via phone (712) 325-0022.

Contact Information

Primary practice address
3434 W Broadway Ste 100 Council Bluffs IA 51501-3291
Phone: (712) 325-0022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 114078 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A174602 Iowa

Profile Details

NPI number 1073254439
LBN Legal business name Wickham, Emily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2022
Last updated Oct 24th, 2023 - about 3 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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