| NPI | 1790654119 |
|---|---|
| Former Name | AMANDA M WICHERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA ARNP.AP.70086839-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN.RN.61057018.MSL) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2026-03-31 |