Individual
MRS. CAMI WICKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5908 S 142ND ST, OMAHA, NE 68137-2800
(402) 354-1900
Mailing address
5062 S 155TH ST, OMAHA, NE 68137-5002
(402) 383-5272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113797
NE
Other
Enumeration date
09/28/2021
Last updated
07/30/2024
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