Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALISSA D WICKERSHAM, FNP
Active Sole ProprietorMALISSA D WICKERSHAM, FNP is a Family Nurse Practitioner healthcare provider located in GROTON, Connecticut. NPI 1992005623 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GROTON, CT
Registration Details
- NPI Number
- 1992005623
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2010 (15.616140199793 yrs)
- Last Updated
- Nov 18, 2019
- License
-
CP000606 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 WAHOO AVEGROTON, CT, 063492324Browse CT providers · Browse ZIP 06349
- Phone
- 8606947521
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in GROTON, CT
| Name | Credential | NPI |
|---|---|---|
| HEIDI WELCH | APRN | 1700876000 |
| MS. GAIL LEE SANJUAN | FNP | 1255313003 |
| MR. TED UBINA PAGULAYAN | FNP-BC, APHN-BC | 1689654394 |
| MRS. CYNTHIA D L'HEUREUX | APRN | 1033178926 |
| KEITH BENJAMIN HOEKMAN | — | 1497811343 |
| SUSAN B KOHN | F.N.P. | 1437284395 |
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.