LYDIA WICKS NURSE NPI 1003175506

NPI Information

Lydia Wicks, NURSE is a school registered nurse in Bronx, NY. Lydia Wicks, NURSE NPI is 1003175506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

339 MORRIS AVE
BRONX, NY
ZIP 10451-122
Phone: (718) 585-2100
Fax: (718) 585-8316

The enumeration date for this NPI number is 5/4/2012 and was last updated on 5/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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