TRACY L WICKWARE PA NPI 1417025636

NPI Information

Tracy L Wickware, PA is a physician assistant in San Diego, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Tracy L Wickware, PA NPI is 1417025636. 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:

3930 4TH AVE
SUITE 200
SAN DIEGO, CA
ZIP 92103-119
Phone: (619) 297-9610
Fax: (619) 297-2244

The enumeration date for this NPI number is 12/4/2006 and was last updated on 4/17/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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