Malissa D Wickersham, FNP is a family nurse practitioner in Groton, CT. Malissa D Wickersham, FNP NPI is 1992005623. 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:
1 WAHOO AVE
GROTON, CT
ZIP 06349-324
Phone: (860) 694-7521
The enumeration date for this NPI number is 10/28/2010 and was last updated on 11/18/2019.