Wicklow, Eryn M.

Wicklow, Eryn M. is an individual health care provider with primary practice located at 94-1480 Moaniani St , Waipahu HI 96797-4632. 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. Wicklow, Eryn M. can be contacted via phone (808) 432-3100.

Contact Information

Primary practice address
94-1480 Moaniani St Waipahu HI 96797-4632
Phone: (808) 432-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55117 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AMD-1154 Hawaii

Profile Details

NPI number 1013415363
LBN Legal business name Wicklow, Eryn M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2018
Last updated Aug 23rd, 2023 - 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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