Individual
ALLISON K WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6061
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-6061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1057302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005925-00
—
FL
Enumeration date
07/16/2006
Last updated
02/25/2013
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