Individual
BRIDGET MARIE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2187 N VICKEY ST STE 2, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 213-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.08958-NP
OH
Other
Enumeration date
08/16/2006
Last updated
04/18/2019
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