Breanna Wickett, PA-C

NPI #1134690779 in Ankeny, Iowa

Provider Information

NPI Number: 1134690779
Entity Type: Individual
Name: Breanna Wickett, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 7, 2018
Last Updated: Oct 15, 2024

Practice Location

Address: 1410 SW TRADITION DR STE 260
City: Ankeny
State: Iowa
ZIP Code: 50023-9188
Phone: (515) 875-9290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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