Individual
CYNTHIA ANN WICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
10406 SENTENAL DR, AUSTIN, TX 78748-2324
(512) 470-3579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
876043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061517
—
DE
Enumeration date
07/23/2019
Last updated
07/23/2019
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