Individual
DR. ALEXA JO WICKLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Mailing address
701 4TH ST, BEAVER, PA 15009-2108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
156801
PA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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