MALISSA D WICKERSHAM

GROTON, CT
NPI1992005623
Former NameMALISSA D FLYNN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  CP000606)
Enumeration Date2010-10-28
Last Update Date2019-11-18
Business Address
MALISSA D WICKERSHAM FNP
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-7521
Mailing Address
MALISSA D WICKERSHAM FNP
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-7521
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