Individual
NANCY A WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 GRAYSON RD, SUITE 101, VIRGINIA BEACH, VA 23462-3745
(757) 473-3200
Mailing address
200 GRAYSON RD, SUITE 101, VIRGINIA BEACH, VA 23462-3745
(757) 473-3200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101241709
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164457073
—
VA
Enumeration date
07/11/2006
Last updated
04/04/2014
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