| Malissa D Wickersham, FNP | |
|
1 Wahoo Ave, Groton, CT 06349-2324 | |
| (860) 694-7521 | |
| Not Available |
| Full Name | Malissa D Wickersham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Wahoo Ave, Groton, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992005623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP000606 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Malissa D Wickersham, FNP 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-7521 | Malissa D Wickersham, FNP 1 Wahoo Ave, Groton, CT 06349-2324 Ph: (860) 694-7521 |
Mrs. Cynthia D L'heureux, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Poheganut Dr, Groton, CT 06340 Phone: 860-448-6303 | |
Matthew David Cooper, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123 | |
Maria Kristine Tompkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 491 Gold Star Hwy, Groton, CT 06340 Phone: 860-445-5107 | |
Dr. John Anthony Hoyos, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave Bldg 449, Groton, CT 06349 Phone: 860-694-4123 | |
Kathryn Walck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 915 Poquonnock Rd, Groton, CT 06340 Phone: 860-446-0144 | |
Ms. Gail Lee Sanjuan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Route 12 Bldg 449, Attn Professional Affairs Naval Ambulatory Care Center, Groton, CT 06349 Phone: 860-694-2377 Fax: 860-694-2590 | |
Angela Lyn Prentiss, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Hazelnut Hill Rd, Groton, CT 06340 Phone: 860-446-8265 |