Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA LEIGH WICKUS, PAC
Active Sole ProprietorANDREA LEIGH WICKUS, PAC is a Physician Assistant healthcare provider located in LEESPORT, Pennsylvania. NPI 1104881879 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LEESPORT, PA
Registration Details
- NPI Number
- 1104881879
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2006 (20.308754932306 yrs)
- Last Updated
- Jan 20, 2023
- License
-
OA005642 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 S CENTRE AVENUELEESPORT, PA, 19533Browse PA providers · Browse ZIP 19533
- Phone
- 6109265707
- Fax
- 6109268352
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LEESPORT, PA
| Name | Credential | NPI |
|---|---|---|
| SYLVIA JOSEPH | PA-C | 1467278424 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.