Individual
MS. CRISTY H WICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
ONE SUN PLAZA, 110 SUN AVENUE, SUITE 650, ALBUQUERQUE, NM 87109
(888) 731-8994
Mailing address
1227 SAN JOSE AVE, SANTA FE, NM 87505-3345
(505) 660-2404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01204
NM
Other
Enumeration date
06/22/2006
Last updated
03/03/2026
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