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Individual

MS. CHERYL A WICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
214 E ELM ST, GRAHAM, NC 27253-3022
(336) 226-2448
(336) 226-5894
Mailing address
2920 TAVISTOCK DR, DURHAM, NC 27712-1047
(919) 383-5818
(336) 226-5894

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200705
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8925753
NC
Enumeration date
06/04/2006
Last updated
09/28/2021
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