MARYUM TAUSEEF WICKER (NPI# 1841855442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841855442 |
| Entity Type | Individual |
| Full Name | MARYUM TAUSEEF WICKER |
| Credential | NP |
| Practice Address |
3015 W Palmetto St Florence SC 29501-5935 |
| Practice Telephone | 8437776890 |
| Practice Fax Number | 8437776871 |
| Mailing Telephone | 8437776890 |
| Mailing Fax Number | 8437776871 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22652 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3015 W PALMETTO ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675361 | M. Annie Muller | Nurse Practitioner | 3015 W Palmetto St, Florence, SC 29501-5935 | 2005-11-10 |
| 1538458864 | Kays Kaysi | Family Medicine | 3015 W Palmetto St, Florence, SC 29501 | 2011-04-07 |
| 1730319351 | Mary Sue K. Brewton | Family Medicine | 3015 W Palmetto St, Florence, SC 29501-5935 | 2009-07-16 |
| 1285890426 | Todd Frazier | General Practice | 3015 W Palmetto St, Florence, SC 29501-5935 | 2008-08-06 |
| 1174704530 | Gabriel Charles Fornari Sr. Sr. | Family Medicine | 3015 W Palmetto St, Florence, SC 29501-5935 | 2007-11-14 |
| 1811960917 | Thomas W Dickinson | Family Medicine | 3015 W Palmetto St, Florence, SC 29501-5935 | 2006-02-09 |
| 1922070671 | Patrick Montague Morgan | Family Medicine | 3015 W Palmetto St, Florence, SC 29501-5935 | 2006-02-06 |
| 1679544100 | Edwin Padgett | Emergency Medicine | 3015 W Palmetto St, Florence, SC 29501-5935 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322703 | Stephenie Matthews Gordon | Nurse Practitioner | 3037 Waterford Dr, Florence, SC 29501-6383 | 2020-09-26 |
| 1073130829 | Lindsay Humphreys | Nurse Practitioner | 309 Ashwoody Dr, Florence, AL 35633-1700 | 2020-06-28 |
| 1710504568 | Deborah Valentine | Nurse Practitioner | 9331 Highway 157, Florence, AL 35633-4635 | 2020-06-28 |
| 1235755984 | Chasidy Lynn Ward | Nurse Practitioner | 406 Woodland Dr, Florence, SC 29501-5445 | 2020-06-18 |
| 1174146054 | Heather Helmbrecht-vines | Nurse Practitioner | 1631 Corinthian Dr Apt 2023, Florence, KY 41042-7424 | 2020-05-26 |
| 1245850148 | Duran Healthcare Pllc | Nurse Practitioner | 9910 Berberich Dr Unit E, Florence, KY 41042-3220 | 2020-04-21 |
| 1548897788 | Pansi Anil Patel | Nurse Practitioner | 511 Prestwick Dr, Florence, SC 29501-8738 | 2020-03-26 |
| 1245861228 | Chasity Beene | Nurse Practitioner | 2929 Cloverdale Rd Unit D, Florence, AL 35633-1505 | 2020-01-29 |
| 1023649191 | Loreena Ruth Fraboni | Nurse Practitioner | 5880 Co-67, Florence, CO 81226 | 2020-01-28 |
| 1093355430 | Stephen Panosian | Nurse Practitioner | 2612 N Palo Verde Dr, Florence, AZ 85132-6880 | 2020-01-14 |
| Find all providers in FLORENCE | ||||
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| 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.