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Individual

MARKITA RENEE WICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
531 QUEEN ANNE AVE N, SEATTLE, WA 98109-4521
(206) 284-7286
Mailing address
531 QUEEN ANNE AVE N, SEATTLE, WA 98109-4521
(206) 284-7286

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60938532
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60938532
WA

Other

Enumeration date
04/04/2019
Last updated
10/07/2022
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