DEBORAH LYNN WICKENDEN


Address: 9150 East 109th Avenue, Crown Point, IN 46307
Phone: 2192261529

DEBORAH LYNN WICKENDEN (NPI# 1225218746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225218746
Entity Type Individual
Full Name DEBORAH LYNN WICKENDEN
Credential RN,NP
Practice Address 9150 East 109th Avenue
Crown Point
IN 46307
Mailing Address 9150 E 109th Ave
Suite 2a
Crown Point
IN 46307-7687
Practice Telephone 2192261529
Mailing Telephone 2192261529
Enumeration Date 2007-11-13
Last Update Date 2013-05-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71002529A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN INDIANA NP LICENSE 71002529A 01

Office Location

Street Address 9150 EAST 109TH AVENUE
City CROWN POINT
State IN
Zip Code 46307

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972117935 Alimat O Biokoro Home Health Aide 1446 W 94th Ct., Crown Point, IN 46307 2020-09-06
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1659933646 Darshak Joshi Physical Therapist 860 Stillwater Parkway, Crown Point, IN 46307 2019-07-01
1215592001 Jamie Monday Counselor 1416 East Joliet St., Crown Point, IN 46307 2019-05-07
1790281152 Tempus Labs Inc. Clinical Medical Laboratory 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 2018-04-04
1669991170 Katie Lynn Eich Counselor 1308 N. Main St, Crown Point, IN 46307 2017-09-15
1053847251 Nicole Bashan Lewis Counselor 1325 W 98th Ave, Crown Point, IN 46307 2017-05-08
1710433008 Paul Alvin Clavecilla Physical Therapist 1099 South Main St., Apt. 314, Crown Point, IN 46307 2016-08-28
1851761365 Cynthia Catherine Grass Black Social Worker 8592 Bell Lane, Crown Point, IN 46307 2015-09-28
1326437799 Ameya Dorsatwar Physical Therapist 1516 North Main St, Crown Point, IN 46307 2015-01-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174162754 Katina A. Varner Nurse Practitioner 12445 Pennsylvania St, Crown Point, IN 46307-8072 2019-12-31
1255996336 Elaine Diana Tsiakopoulos Nurse Practitioner 925 Lillian Russell Ct, Crown Point, IN 46307-7517 2019-05-05
1174039101 Nickolas Emmanuel Mileos Nurse Practitioner 7630 E 112th Ave, Crown Point, IN 46307-5704 2017-12-28
1740792506 Regina Springstead Nurse Practitioner 213 S Court St Ste B, Crown Point, IN 46307-3991 2017-11-01
1124436217 Michelle Wathier Nurse Practitioner 2272 North Main Street, Minute Clinic, Crown Point, IN 46307 2014-08-01
1881724730 Michelle Breunig Nurse Practitioner 180 W 128th Pl, Suite 1, Crown Point, IN 46307-7959 2007-03-07
1871634188 Karen A Mannino Nurse Practitioner 10607 Randolph St, Ste C, Crown Point, IN 46307-7505 2007-02-09
1265400626 Jill Carley Nurse Practitioner 9330 Broadway, Crown Point, IN 46307-8602 2006-03-10
1235107921 Leslie Lembke Nurse Practitioner 9330 S. Broadway, Crown Point, IN 46307 2006-03-09
1275131427 Ken Myers Nurse Practitioner 5265 Commerce Blvd Ste D, Crown Point, IN 46307-5327 2020-10-10
Find all providers in CROWN POINT

Competitor

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City CROWN POINT
Zip Code 46307

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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