MRS. Fusae Mary Wicks, NP

NPI #1093856130 in Las Vegas, Nevada

Provider Information

NPI Number
1093856130
Entity Type
Individual
Name
MRS. Fusae Mary Wicks, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Feb 10, 2007
Last Updated
Jun 11, 2021

Practice Location

Address
4560 S EASTERN AVE STE 15
State
Nevada
ZIP Code
89119-6182
Phone
(702) 994-7267

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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