Individual
CAROL ANNE VANWICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 FULTON AVE, HEMPSTEAD, NY 11550-3646
(516) 227-3400
Mailing address
21 HORTON ST, MALVERNE, NY 11565-1510
(516) 593-4042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
291898-1
NY
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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