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Individual

ANNY WICYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
BELOIT HEALTH SYSTEM, 1969 WEST HART RD, BELOIT, WI 53511-2283
(608) 364-5689
(608) 364-5452
Mailing address
BELOIT HEALTH SYSTEM, 1969 WEST HART RD, BELOIT, WI 53511-2283
(608) 364-5689
(608) 364-5452

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10837-33
WI
363LF0000X
Family Nurse Practitioner
10837-22
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100180456
WI
Enumeration date
04/06/2021
Last updated
07/23/2025
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