Individual
DANA MARIE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
6611 RIVER PLACE BLVD, AUSTIN, TX 78730-1162
(512) 473-8300
Mailing address
6611 RIVER PLACE BLVD, AUSTIN, TX 78730-1162
(512) 473-8300
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP145911
TX
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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