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Ms. Emily Wickham
Primary Care Nurse Practitioner in Council Bluffs, Iowa
NPI 1073254439

Emily Wickham is a Primary Care Nurse Practitioner based in Council Bluffs, IA and is specialized in Primary Care. Emily Wickham practices in Council Bluffs, IA. The NPI Number for Emily Wickham is 1073254439 and holds a License No. 114078 (Iowa).

The current practice location address for Emily Wickham is 3434 W Broadway Ste 100, Council Bluffs, IA and can be reached out via phone at 712-325-0022.

Location: 3434 W Broadway Ste 100, Council Bluffs, IA, 51501-3291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073254439
Provider Name
Emily Wickham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3434 W Broadway Ste 100, Council Bluffs, IA, 51501-3291
Phone Number
712-325-0022
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3434 W Broadway Ste 100
City
Council Bluffs
State
Iowa
Zip
51501-3291
Phone Number
712-325-0022
Fax Number
person
Provider Business Mailing Address Details
Address
3434 W Broadway Ste 100
City
Council Bluffs
State
Iowa
Zip
51501-3291
Phone Number
712-325-0022
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
A174602 (Iowa)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
114078 (Nebraska)
Definition
Definition to come...
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