Individual
MISS DANA LYNN WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5022
(860) 545-3266
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 224-5305
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004549
CT
363AS0400X
Surgical Physician Assistant
015905
NY
Other
Enumeration date
09/05/2012
Last updated
01/12/2026
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