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General NPI Number Information
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NPI Number | 1932871845
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Entity Type | Individual
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Provider Name | CHELSEA WICKARD APRN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 701 PINNACLE DR STE 105
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City | PAPILLION
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State | NE
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Zip | 68046-6228
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Country | US
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Telephone | 402-505-7989
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Fax | 402-932-8863
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Provider Business Mailing Address
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Address Line | 3130 NW 49TH ST
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City | LINCOLN
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State | NE
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Zip | 68524-1403
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Country | US
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Telephone | 308-224-1102
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 113839
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License Number State | NE
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