Wicklund, Shana Rose

Wicklund, Shana Rose is an individual health care provider with primary practice located at 1672 S County Trl Ste 302 , East Greenwich RI 02818-5099. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Wicklund, Shana Rose can be contacted via phone (401) 336-3770.

Contact Information

Primary practice address
1672 S County Trl Ste 302 East Greenwich RI 02818-5099
Phone: (401) 336-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1437770625
LBN Legal business name Wicklund, Shana Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated Nov 6th, 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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