Amanda L Wicker, LPN in East Prairie, MO - Licensed Practical Nurse

Amanda L Wicker, LPN is a Licensed Practical Nurse based in East Prairie, Missouri. Amanda L Wicker is licensed to practice in Missouri (license number 2003028629) and her current practice location is 106 S Washington St, East Prairie, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 649-9411.

NPI number for Amanda L Wicker is 1265637987 and her current mailing address is 106 S Washington St, East Prairie, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265637987.

Contact Information

	Amanda L Wicker, LPN
	106 S Washington St, East Prairie, MO 63845-1526
	(573) 649-9411
	(573) 649-9442

Provider's Profile

Full Name	Amanda L Wicker
Gender	Female
Speciality	Licensed Practical Nurse
Location	106 S Washington St, East Prairie, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1265637987
Provider Enumeration Date: 06/21/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Amanda L Wicker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265637987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	2003028629 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda L Wicker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda L Wicker, LPN 106 S Washington St, East Prairie, MO 63845-1526 Ph: (573) 649-9411	Amanda L Wicker, LPN 106 S Washington St, East Prairie, MO 63845-1526 Ph: (573) 649-9411

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Amanda L Wicker, LPN - Licensed Practical Nurse in East Prairie, MO