Individual
DEBORAH LYNN WICKENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NP
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(574) 307-7673
(574) 307-7692
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002529A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71002529A
INDIANA NP LICENSE
IN
Enumeration date
11/13/2007
Last updated
03/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us