Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN WICKARD
ActiveKATHRYN WICKARD is a Nurse Anesthetist, Certified healthcare provider located in CLEARLAKE OAKS, California. NPI 1538783212 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · CLEARLAKE OAKS, CA
Registration Details
- NPI Number
- 1538783212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2020 (6.0304530533011 yrs)
- Last Updated
- May 29, 2020
- License
-
271931 (CA)
Practice Information
- Address
-
14715 EAST HIGHWAY 20CLEARLAKE OAKS, CA, 95423Browse CA providers · Browse ZIP 95423
- Phone
- 7076681800
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
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.