Individual
MRS. SAFIYA WICKWARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4727 ROSEBUD LN STE D, NEWBURGH, IN 47630-9367
(812) 475-8975
(812) 471-8322
Mailing address
876 LINCOLN AVE, EVANSVILLE, IN 47713-2372
(812) 773-9400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005142A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
28193397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200921280A
—
IN
Enumeration date
03/04/2014
Last updated
09/17/2025
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