Individual
CAROLYN PEYTON WICKERSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
601 E DAILY DR STE 110, CAMARILLO, CA 93010-5838
(805) 385-9460
Mailing address
601 E DAILY DR STE 110, CAMARILLO, CA 93010-5838
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95002682
CA
Other
Enumeration date
01/31/2014
Last updated
06/07/2023
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