Wicklund, Marissa

Wicklund, Marissa is an sole proprietor health care provider with primary practice located at 7017 Carmen Blvd , Las Vegas NV 89128-3406. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Day Training/Habilitation Specialist is her primary health care specialty. Wicklund, Marissa can be contacted via phone (702) 445-5995.

Contact Information

Primary practice address
7017 Carmen Blvd Las Vegas NV 89128-3406
Phone: (702) 445-5995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1033457742
LBN Legal business name Wicklund, Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2013
Last updated Jan 30th, 2013 - about 12 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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