IndividualActive
Susan Wickum
NPI 1295622058 · Licensed Practical Nurse · Webster, NY
Susan Wickum is a Licensed Practical Nurse provider in Webster, NY (NPI 1295622058).
Provider details
- NPI number
- 1295622058
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 274250-01 (NY)
Practice location
124 Galante Cir
Webster, NY 14580-4708
Phone: (585) 317-1161
Street-level locationGet directions
Mailing address
124 Galante Cir
Webster, NY 14580-4708
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.